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Individual

GARY LEWIS FUCHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01039859A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
19483
KY
207RC0000X
Cardiovascular Disease Physician
25952
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060014165
RAILROAD MEDICARE
IN
01
060066387
RAILROAD MEDICARE
KY
05
200008570
IN
05
64194830
KY
01
P00336121
RAILROAD MEDICARE
KY
Enumeration date
10/06/2005
Last updated
03/21/2018
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