Healthcare Provider Details

I. General information

NPI: 1700933918
Provider Name (Legal Business Name): MICHAEL LEE GERBER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 WESTFIELD AVE
RENO NV
89509-1800
US

IV. Provider business mailing address

1225 WESTFIELD AVE
RENO NV
89509-1800
US

V. Phone/Fax

Practice location:
  • Phone: 775-826-1900
  • Fax:
Mailing address:
  • Phone: 775-826-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberNV84016
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: