Individual provider · NPI-1

Dr. Michael Gerlach, MD

Family Medicine · Mitchell, SD

NPI number1962476093
StatusActive
Last updated in NPPESOct 24, 2008

Details

NPI
1962476093
Entity type
Individual (NPI-1)
Name
Dr. Michael Gerlach
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2006
Last updated
Oct 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4902SDYes

Practice location

818 W Havens St
Mitchell, SD 57301-3830

Phone 605-996-7526

Mailing address

818 W Havens
Mitchell, SD 57301-3830

Phone 605-996-7526 · Fax 605-996-1808

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