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Individual

EDWARD B GERHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 E WENDOVER AVE, SUITE 411, GREENSBORO, NC 27401-1230
(336) 832-3200
(336) 832-3201
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-3200
(336) 832-3201

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
33513
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1800535
UHC
NC
01
330003710
RR MCR
NC
01
35134
BCBS
NC
01
35476
MEDCOST
NC
05
8935134
NC
Enumeration date
06/16/2005
Last updated
08/17/2021
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