MEDICARE: DR. ROBERT GERDING 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
1	208200000X	Plastic Surgery Physician	35048973	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871587022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT GERDING M.D.

Provider Business Mailing Address
First Line	:	303 E ROYALTON RD
Second Line	:	SUITE 202
City	:	CLEVELAND
State	:	OH
Zip	:	44147-2522
Country	:	US
Telephone Number	:	440-717-2023
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 E ROYALTON RD
Second Line	:	SUITE 202
City	:	CLEVELAND
State	:	OH
Zip	:	44147-2522
Country	:	US
Telephone Number	:	440-717-2023
Fax Number	:

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	01/11/2008

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