Individual provider · NPI-1
Steve Gauerke, M.D.
Pathology, Anatomic Pathology & Clinical Pathology · Fairfax, VA
NPI number1023009834
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1023009834
- Entity type
- Individual (NPI-1)
- Name
- Steve Gauerke
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2005
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | C151388 | CA | Yes |
| 171000000X | Military Health Care Provider | 0101236850 | VA | |
| 207ZH0000X | Pathology, Hematology | C151388 | CA |
Practice location
3161 Colchester Brook LnFairfax, VA 22031-2609
Phone 703-280-4544 · Fax 202-782-3217
Mailing address
3161 Colchester Brook LnFairfax, VA 22031-2609
Phone 703-280-4544 · Fax 202-782-3217
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