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NPI Code Detail

MEDICARE: MAX DUSTER GEHRMAN MD

MEDICARE: MAX DUSTER GEHRMAN 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
1207X00000XOrthopaedic Surgery Physician88541SC

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 : 1861846883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAX DUSTER GEHRMAN MD
Provider Business Mailing Address
First Line : 515 S MIDVALE BLVD APT 420
Second Line :
City : MADISON
State : WI
Zip : 53711-1472
Country : US
Telephone Number : 715-853-9658
Fax Number :
Provider Business Practice Location Address
First Line : 1621 HIGHWAY 17 N
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-2229
Country : US
Telephone Number : 843-353-3460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2016
Last Update Date : 06/06/2023

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