Myron, Gary

Myron, Gary is an individual health care provider with primary practice located at 350 Peller Rd , Lake Geneva WI 53147-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Myron, Gary can be contacted via phone (262) 249-0221.

Contact Information

Primary practice address
350 Peller Rd Lake Geneva WI 53147-4543
Phone: (262) 249-0221
Fax: (262) 249-0633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50315-020 Wisconsin

Profile Details

NPI number 1386773174
LBN Legal business name Myron, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated May 8th, 2019 - about 5 years 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 1386773174 NPPES
Wisconsin Other MYRONGAR MERCYCARE INSURANCE
Wisconsin MEDICAID 1386773174 MERCYCARE INSURANCE
Wisconsin Other 1664 MERCYCARE INSURANCE
Wisconsin MEDICAID 34947000 MERCYCARE INSURANCE
Wisconsin Other 1386773174 MERCYCARE INSURANCE

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