John C Gernetzke is a Dentist in Evansville, Wisconsin. John C Gernetzke practices all healthcare services and medical treatments related to Dentist. The NPI Number for John C Gernetzke is 1629050026. The last update date is 2007-07-08.
John C Gernetzke's current location address is 109 S Madison St, Evansville, Wisconsin. You can contact this provider via phone number 6088824441 and fax number 6088824967. The mailing address for John C Gernetzke is 109 S Madison St, Evansville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C Gernetzke |
|---|---|
| Address | 109 S Madison St, Evansville, Wisconsin |
| Phone Number | 6088824441 |
| Fax Number | 6088824967 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629050026 |
|---|---|
| Provider Enumeration Date | 2005-11-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 109 S Madison St |
|---|---|
| City | Evansville |
| State | Wisconsin (WI) |
| Post Code | 535361319 |
| Phone Number | 6088824441 |
| Fax Number | 6088824967 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4078 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33688500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John C Gernetzke by the Centers for Medicare & Medicaid Services?
The John C Gernetzke has been issued the NPI (National Provider Identifier) 1629050026, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John C Gernetzke is geographically located?
The John C Gernetzke is physically situated at the following location: 109 S Madison St, Evansville, WI, 535361319.
What is John C Gernetzke's area of expertise and its corresponding taxonomy classification?
The John C Gernetzke's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did the John C Gernetzke receive its 1629050026?
The John C Gernetzke was issued its 1629050026 on 2005-11-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to John C Gernetzke most recently updated or revised?
The details related to John C Gernetzke, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA