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NPI Code Detail

MEDICARE: DR. AUSTIN LOUIS GERBER M.D.

MEDICARE: DR. AUSTIN LOUIS GERBER 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
1207WX0200XOphthalmic Plastic and Reconstructive Surgery Physician01078089AIN

General Provider Information

NPI Number : 1174865919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUSTIN LOUIS GERBER M.D.
Provider Business Mailing Address
First Line : 10300 N ILLINOIS ST STE 2020
Second Line :
City : CARMEL
State : IN
Zip : 46290-1167
Country : US
Telephone Number : 317-817-1976
Fax Number :
Provider Business Practice Location Address
First Line : 7920 W JEFFERSON BLVD STE 230
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-4166
Country : US
Telephone Number : 260-440-2201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2013
Last Update Date : 08/07/2025

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