Individual
THOMAS G. GEHLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2951
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(609) 260-2951
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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