Basic Information
| Provider Information | |||||||||
| NPI: | 1922371962 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARAUJO | ||||||||
| FirstName: | GERSON | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 JOHN ST | ||||||||
| Address2: | SUITE M283A | ||||||||
| City: | KALAMAZOO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490075341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2693497696 | ||||||||
| FaxNumber: | 2694888313 | ||||||||
| Practice Location | |||||||||
| Address1: | 246 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | UKIAH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 954824533 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074638011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2012 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | ME110986 | FL | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | A153886 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.