Demers, Gerald A

Demers, Gerald A is an individual health care provider with primary practice located at 4320 67Th Dr , Union Grove WI 53182-9338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Demers, Gerald A can be contacted via phone (262) 878-1211.

Contact Information

Primary practice address
4320 67Th Dr Union Grove WI 53182-9338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27443 Wisconsin

Profile Details

NPI number 1821103011
LBN Legal business name Demers, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821103011 NPPES
Wisconsin MEDICAID 30720400

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