| Doctor Name: | DR. GERALD PAUL MYERS |
| NPI Number: | 1134306947 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01025704 |
| Business Practice Address: | 3 Park Row Michigan City, IN - 46360 |
| Business Phone Number: | 2198747256 |
| Business Fax Number: | 2198799839 |
| Mailing Address: | 54354 Old Bedford Trl, MISHAWAKA |
| State: | IN |
| Postal Code: | 465451513 |
| Phone Number: | 2198747256 |
| Fax Number: | 2198799839 |
| NPI Enumeration Date: | 01/23/2008 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 01025704 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |