| Doctor Name: | MR. GERALD F PHILLIPS |
| NPI Number: | 1306924485 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BSN RN |
| License Number: | 60979030 |
| Business Practice Address: | S70w20099 Adrian Dr Muskego, WI - 531508200 |
| Business Phone Number: | 2626793455 |
| Business Fax Number: | |
| Mailing Address: | 4053 So 91st Street, GREENFIELD |
| State: | WI |
| Postal Code: | 532282219 |
| Phone Number: | 4148101077 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 60979030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |