| Gerardo Perez-espindola | |
|
425 Shoreland Dr, Racine, WI 53402-3829 | |
| (856) 520-4513 | |
| Not Available |
| Full Name | Gerardo Perez-espindola |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 425 Shoreland Dr, Racine, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578700811 | NPI | - | NPPES |
| 000082037 | Other | WI | MEDICARE PTAN |
| 215839 | Other | IL | MEDICARE PTAN |
| 000082039 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-005265 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo Perez-espindola 425 Shoreland Dr, Racine, WI 53402-3829 Ph: (856) 520-4513 | Gerardo Perez-espindola 425 Shoreland Dr, Racine, WI 53402-3829 Ph: (856) 520-4513 |
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