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NPI Code Detail

MEDICARE: MARIA STELLA GAERLAN MD PC

MEDICARE: MARIA STELLA GAERLAN MD PC
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
1208100000XPhysical Medicine & Rehabilitation Physician8282NV

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 : 1295798221
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIA STELLA GAERLAN MD PC
Provider Business Mailing Address
First Line : PO BOX 28077
Second Line :
City : LAS VEGAS
State : NV
Zip : 89126-2077
Country : US
Telephone Number : 702-870-2213
Fax Number : 702-870-2214
Provider Business Practice Location Address
First Line : 2810 W CHARLESTON BLVD STE 48
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1905
Country : US
Telephone Number : 702-870-2213
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. MARIA STELLA GAERLAN
Credential : MD
Telephone Number : 702-870-2213
Provider Enumeration Date : 04/10/2006
Last Update Date : 04/11/2014

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Directions to “MARIA STELLA GAERLAN MD PC ” Practice Location

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