Gary M Herdrich

NPI #1215019047 in West Bend, Wisconsin

Provider Information

NPI Number: 1215019047
Entity Type: Individual
Name: Gary M Herdrich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Oct 20, 2006
Last Updated: Apr 1, 2013

Practice Location

Address: 1700 W PARADISE DR
City: West Bend
State: Wisconsin
ZIP Code: 53095-9795
Phone: (262) 334-3451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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