MEDICARE: DR. CHRISTINE GERHARD 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
1	208D00000X	General Practice Physician	MT10445	MT

General Provider Information

NPI Number	:	1295846988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE GERHARD M.D.

Provider Business Mailing Address
First Line	:	3318 3RD AVE. N.
Second Line	:	SUITE 100
City	:	BILLINGS
State	:	MT
Zip	:	59101
Country	:	US
Telephone Number	:	406-248-3149
Fax Number	:	406-245-6636

Provider Business Practice Location Address
First Line	:	3318 3RD AVE N
Second Line	:	SUITE 100
City	:	BILLINGS
State	:	MT
Zip	:	59101-1900
Country	:	US
Telephone Number	:	406-248-3149
Fax Number	:	406-245-6636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/19/2007

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