Provider Demographics
NPI:1942307111
Name:GERHARD, ALBRECHT K (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBRECHT
Middle Name:K
Last Name:GERHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1303 BELLEFONTAINE AVE
Mailing Address - Street 2:LIMA CBOC
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-3109
Mailing Address - Country:US
Mailing Address - Phone:419-222-5788
Mailing Address - Fax:419-222-9504
Practice Address - Street 1:1303 BELLEFONTAINE AVE
Practice Address - Street 2:LIMA CBOC
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3109
Practice Address - Country:US
Practice Address - Phone:419-222-5788
Practice Address - Fax:419-222-9504
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG57976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine