Individual
MAX DUSTER GEHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1621 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2229
(843) 353-3460
Mailing address
515 S MIDVALE BLVD APT 420, MADISON, WI 53711-1472
(715) 853-9658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
88541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885411
—
SC
Enumeration date
04/15/2016
Last updated
06/06/2023
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