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NPI Code Detail

MEDICARE: ROBERT E GEHRINGER MD

MEDICARE: ROBERT E GEHRINGER MD
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
1208000000XPediatrics Physician23564WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831183821
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT E GEHRINGER MD
Provider Business Mailing Address
First Line : 1071 BRIGHTON DR
Second Line :
City : MENASHA
State : WI
Zip : 54952-2935
Country : US
Telephone Number : 920-725-9420
Fax Number :
Provider Business Practice Location Address
First Line : 744 S WEBSTER AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3505
Country : US
Telephone Number : 920-445-7226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 08/04/2014

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