Individual
MR. THOMAS C. GERBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
2246 N MONROE ST, MONROE, MI 48162-4254
(734) 243-0220
(734) 243-4269
Mailing address
2246 N MONROE ST, MONROE, MI 48162-4254
(734) 243-0220
(734) 243-4269
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000037
MI
237600000X
Audiologist-Hearing Aid Fitter
1601000037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382270920
FEDERAL ID NUMBER
MI
01
—
540E003140
BLUECROSS & BLUESHIELD
MI
01
—
640E026870
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
03/29/2007
Last updated
11/21/2014
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