Provider Demographics
NPI:1538156799
Name:GERBER, THOMAS CHRISTOPH (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHRISTOPH
Last Name:GERBER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81224207RC0000X
WI70300207RC0000X
MN37978207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51634OtherBLUECROSS/BLUESHIELD
FL259808600Medicaid
MNENROLLEDMedicaid
IAENROLLEDMedicaid
FL060061798OtherRAILROAD MEDICARE
MNP00893815OtherMEDICARE RAILROAD
WIENROLLEDMedicaid
MN110166889OtherRAILROAD MEDICARE
IAENROLLEDMedicaid
MN060003498Medicare PIN
MN060003475Medicare PIN
MN110166889OtherRAILROAD MEDICARE