Individual
MICHAEL G GERBERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6100 E CENTRAL AVE, SUITE 5, WICHITA, KS 67208-4237
(316) 681-2020
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54384
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247780C
—
KS
01
—
145296
BCBS
KS
Enumeration date
03/14/2006
Last updated
08/27/2008
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