Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | NV84016 | NV |
NPI | 1700933918 |
---|---|
Provider Name | Michael Lee Gerber |
First Address | Reno, NV 89509-1800 |
Second Address | Reno, NV 89509-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/07/2007 |