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Individual

THOMAS G. GEHLBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
036-129678
IL
207RP1001X
Pulmonary Disease Physician
22432-20
WI
207RP1001X
Pulmonary Disease Physician
Primary
54163-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036129678
IL
05
1891905600
WI
01
381220027
MEDICARE
IL
01
61014
DEAN HEALTH INSURANCE
WI
Enumeration date
05/23/2007
Last updated
10/04/2022
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