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NPI Code Detail

MEDICARE: DR. ALAN R GILBERT M. D.

MEDICARE:  DR. ALAN R GILBERT  M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician01021154AIN

General Provider Information

NPI Number : 1215961677
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN R GILBERT M. D.
Provider Business Mailing Address
First Line : 801 YORK ST
Second Line :
City : MANITOWOC
State : WI
Zip : 54220-4630
Country : US
Telephone Number : 920-663-9016
Fax Number : 920-684-1439
Provider Business Practice Location Address
First Line : 10620 CORPORATE DR STE A
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1711
Country : US
Telephone Number : 260-423-2567
Fax Number : 260-420-2415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 06/15/2016

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Directions to “ DR. ALAN R GILBERT M. D.” Practice Location

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