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Individual

DR. MICHEAL DEAN GERBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
269 MEMORIAL DR, SUITE 103, BERLIN, WI 54923
(920) 361-1696
(920) 361-1247
Mailing address
PO BOX 228, BERLIN, WI 54923-0228
(920) 361-1696
(920) 361-1247

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2681-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38601400
WI
Enumeration date
01/16/2007
Last updated
07/18/2023
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