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Search › Illinois › 146L00000X

Matthew Gerdes

NPI 1639533391 · on the registry since 2016

Practice

Address
705 Bradbury Ln
Sparta, IL 62286
Phone
(618) 443-3088
Organisation at this address
Medstar Ambulance Inc
Medstar Ambulance Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
146L00000X
146L00000X
Also registered as
146L00000X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois