MEDICARE: DR. JOSEPH GERARD KERSCHEN D.O.

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	207Q00000X	Family Medicine Physician	5101006324	MI

General Provider Information

NPI Number	:	1104817980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH GERARD KERSCHEN D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1848
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49443-1848
Country	:	US
Telephone Number	:	231-727-5211
Fax Number	:	231-727-4571

Provider Business Practice Location Address
First Line	:	905 E COLBY ST
Second Line	:
City	:	WHITEHALL
State	:	MI
Zip	:	49461
Country	:	US
Telephone Number	:	231-728-5910
Fax Number	:	231-728-5918

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	06/06/2018

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