George B Gerstenkorn, MD
Individual provider Active NPI Family Medicine Physician · Milaca, MN
NPI 1902850134 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1902850134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16574 (MN)
- Practice address
- 150 10TH St NW
Milaca, MN 56353-1737 - Phone
- (320) 983-7400
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16574 | MN | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16574 | MN | Yes |
Addresses
Primary practice location
150 10TH St NW
Milaca, MN 56353-1737
Mailing address
150 10TH St NW
Milaca, MN 56353-1737
Other providers in Milaca, MN
- Fairview Clinics
- Jennifer Flanagan
- Rebekah Forker
- Kristin French
- Deborah Hannah Gault
- Elisabeth Ann Gliddon
- Jennifer Jean Goerger
- Kelsey Ann Gruba
- Raeann Hagen
- Julie Ann Hanenburg
All providers in Milaca, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.