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NPI Code Detail

MEDICARE: CLAIRE M GERVAIS MD

MEDICARE: CLAIRE M GERVAIS 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
1207Q00000XFamily Medicine Physician32449WI

General Provider Information

NPI Number : 1225097868
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE M GERVAIS MD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5618 ODANA RD
Second Line :
City : MADISON
State : WI
Zip : 53719-1208
Country : US
Telephone Number : 608-274-1100
Fax Number : 608-274-0310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 12/30/2020

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Directions to “ CLAIRE M GERVAIS MD” Practice Location

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