Gerson, Robert M

Gerson, Robert M is an individual health care provider with primary practice located at 841 Red Hawk Dr , Walworth WI 53184-9707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gerson, Robert M can be contacted via phone (262) 903-2299.

Contact Information

Primary practice address
841 Red Hawk Dr Walworth WI 53184-9707
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25931 Wisconsin

Profile Details

NPI number 1881746709
LBN Legal business name Gerson, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Feb 2nd, 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 1881746709 NPPES
Wisconsin MEDICAID 32097500
Wisconsin MEDICAID 0360622742

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