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Individual

DR. MARC A GILEROVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
W164 N11297 SQUIRE DRIVE, GERMANTOWN, WI 53022
(262) 250-1948
(262) 250-1004
Mailing address
985 W OKLAHOMA AVENUE, MILWAUKEE, WI 53215-4749
(414) 481-1021
(414) 481-3044

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3602012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004
MEDICARE SEQUENCE NUMBER
Enumeration date
12/20/2006
Last updated
07/08/2007
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