Provider Demographics
NPI:1821040403
Name:GERSHAN, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:GERSHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:720 WASHINGTON AVE SE STE 300
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-2904
Mailing Address - Country:US
Mailing Address - Phone:612-365-6777
Mailing Address - Fax:612-365-8001
Practice Address - Street 1:2512 S 7TH ST
Practice Address - Street 2:UMPHYSICIANS PEDIATRIC SPECIALTY CARE-7TH ST
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1404
Practice Address - Country:US
Practice Address - Phone:612-365-6777
Practice Address - Fax:612-365-8001
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN580342080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
002000117BOtherHUMANA
WI31596600Medicaid
002000117BOtherHUMANA
WI31596600Medicaid