Individual
DR. ROBERT M GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 RED HAWK DR, WALWORTH, WI 53184-9707
(262) 903-2299
Mailing address
841 RED HAWK DR, WALWORTH, WI 53184-9707
(262) 903-2299
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25931
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360622742
—
IL
05
—
32097500
—
WI
Enumeration date
01/18/2007
Last updated
02/02/2023
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