Provider Information for 1487712097
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Dr. MICHAEL HANFORD GERBER Ph.D.
Sex: Male
NPI: 1487712097
Last Updated: 2007-07-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1487712097 | ||||||||
| Enumeration Date | 2006-12-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93410-0001 United States Phone: 805-547-1650 | Fax:805-547-1995 | ||||||||
| Primary Practice Address | 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401-4535 United States Phone: 805-441-9250 | Fax:805-781-1177 | ||||||||
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