Todd Gerlach in Peoria - Plastic Surgery

Todd Gerlach - NPI 1518046044

Todd Gerlach is a Plastic Surgery in Peoria, Illinois. Todd Gerlach practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Todd Gerlach is 1518046044. The last update date is 2021-02-02.

Todd Gerlach's current location address is 4909 N Glen Park Place Rd, Peoria, Illinois. You can contact this provider via phone number 3096747546 and fax number 3092820500. The mailing address for Todd Gerlach is 4909 N Glen Park Place Rd, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd Gerlach
Address 4909 N Glen Park Place Rd, Peoria, Illinois
Phone Number 3096747546
Fax Number 3092820500
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1518046044
Provider Enumeration Date 2006-11-03
Last Updated Date 2021-02-02

Provider Mailing Address Detail

Address 4909 N Glen Park Place Rd
City Peoria
State Illinois (IL)
Post Code 616144689
Phone Number 3096747546
Fax Number 3092820500

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 36105582
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about Todd Gerlach

What is the unique identification code assigned to Todd Gerlach by the Centers for Medicare & Medicaid Services?

The Todd Gerlach has been issued the NPI (National Provider Identifier) 1518046044. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Todd Gerlach is physically located?

The Todd Gerlach is physically situated at the following address: 4909 N Glen Park Place Rd, Peoria, IL, 616144689.

What is Todd Gerlach's specialized field of practice, and what is the corresponding taxonomy classification code?

The Todd Gerlach's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518046044 to Todd Gerlach?

The Centers for Medicare & Medicaid Services originally issued the 1518046044 to Todd Gerlach on 2006-11-03.

As of what date were the Todd Gerlach's details last updated?

The information pertaining to the Todd Gerlach, including its address, specialty, and other details, was most recently updated on 2021-02-02.

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