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Individual

WILLIAM GERLACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
16 HAMPTON VILLAGE PLZ, SUITE 274, SAINT LOUIS, MO 63109-2128
(314) 352-5436
(314) 352-0749
Mailing address
16 HAMPTON VILLAGE PLZ, SUITE 274, SAINT LOUIS, MO 63109-2128
(314) 352-5436

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000454
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301521407
MO
01
P00276729
RR MEDICARE PIN
MO
Enumeration date
11/18/2005
Last updated
10/20/2011
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