Gary M Herdrich in West Bend - Family Medicine
Gary M Herdrich - NPI 1215019047
Gary M Herdrich is a Family Medicine in West Bend, Wisconsin. Gary M Herdrich practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary M Herdrich is 1215019047. The last update date is 2013-04-01.
Gary M Herdrich's current location address is 1700 W Paradise Dr, West Bend, Wisconsin. You can contact this provider via phone number 2623343451. The mailing address for Gary M Herdrich is 1700 W Paradise Dr, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary M Herdrich |
---|---|
Address | 1700 W Paradise Dr, West Bend, Wisconsin |
Phone Number | 2623343451 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1215019047 |
---|---|
Provider Enumeration Date | 2006-10-20 |
Last Updated Date | 2013-04-01 |
Provider Mailing Address Detail
Address | 1700 W Paradise Dr |
---|---|
City | West Bend |
State | Wisconsin (WI) |
Post Code | 530959795 |
Phone Number | 2623343451 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | 22394 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1013 | INTERNAL ID-MOTOR VEHICLE ID |
Post Comment/ Review Below
What is the unique identifier code issued to Gary M Herdrich by the Centers for Medicare & Medicaid Services?
The Gary M Herdrich has been assigned the NPI (National Provider Identifier) 1215019047. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gary M Herdrich?
The Gary M Herdrich is physically situated at 1700 W Paradise Dr, in the city of West Bend, state of WI, with the postal code 530959795.
What is Gary M Herdrich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary M Herdrich's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215019047 to Gary M Herdrich?
The Centers for Medicare & Medicaid Services assigned the 1215019047 to Gary M Herdrich on 2006-10-20.
When was the information regarding Gary M Herdrich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary M Herdrich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-01.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL