| Gerald Radlauer Md Inc | |
|
18523 Corwin Rd Ste I Apple Valley CA 92307-2300 | |
| (760) 242-5389 | |
| (760) 946-5295 |
| Full Name | Gerald Radlauer Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18523 Corwin Rd Ste I, Apple Valley, California |
| Authorized Official Name and Position | Gerald M Radlauer (PRESIDENT) |
| Authorized Official Contact | 7602425389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Radlauer Md Inc 18564 Us Highway 18 Ste 105 Apple Valley CA 92307-2320 Ph: (760) 242-7777 | Gerald Radlauer Md Inc 18523 Corwin Rd Ste I Apple Valley CA 92307-2300 Ph: (760) 242-5389 |
| NPI Number | 1578716288 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 05/21/2013 |
| Medicare PECOS PAC ID | 2668534165 |
|---|---|
| Medicare Enrollment ID | O20081217000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578716288 | NPI | - | NPPES |
| G87597 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G87597 (California) | Primary |
| Provider Name | Gerald Radlauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710956776 PECOS PAC ID: 5294831491 Enrollment ID: I20070504000222 |
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