Gerdisch, Marc W

Gerdisch, Marc W is an individual health care provider with primary practice located at 8051 S Emerson Ave Ste 365 , Indianapolis IN 46237-0011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gerdisch, Marc W can be contacted via phone (178) 512-3313.

Contact Information

Primary practice address
8051 S Emerson Ave Ste 365 Indianapolis IN 46237-0011
Phone: (178) 512-3313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01048049A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036079121 Illinois

Profile Details

NPI number 1508822255
LBN Legal business name Gerdisch, Marc W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jun 17th, 2024 - about 5 months ago

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 1508822255 NPPES
Other 202172 URBANA/ROCKFORD/MOLINE
MEDICAID 36079121 URBANA/ROCKFORD/MOLINE
Other S26620 URBANA/ROCKFORD/MOLINE
Other 344390 URBANA/ROCKFORD/MOLINE

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