Doctor Name: | GERALD MARSHALL ERSKINE |
NPI Number: | 1346350030 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 00350 |
Business Practice Address: | 336 Seneca Trl 219 North Ronceverte, WV - 249701320 |
Business Phone Number: | 3046450200 |
Business Fax Number: | 3046450240 |
Mailing Address: | 336 Seneca Trl, 219 North RONCEVERTE |
State: | WV |
Postal Code: | 249701320 |
Phone Number: | 3046450200 |
Fax Number: | 3046450240 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 00350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |