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Individual

GARY L GERSCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20738-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160674043
IL
05
30541400
WI
01
930044451
MEDICARE RAILROAD
WI
01
930071567
MEDICARE RAILROAD
WI
01
P00081173
MEDICARE RAILROAD
WI
01
P00290901
MEDICARE RAILROAD
WI
Enumeration date
05/27/2006
Last updated
09/19/2008
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