NPI 1639533391

Matthew Gerdes

Practitioner Paramedic Sparta, IL

Practice location

Address: 705 Bradbury Ln, Sparta, IL 62286-2102
Phone: (618) 443-3088
Mailing address: 4156 Water Oak Ln, Smithton, IL 62285-3666

Registered specialties (2)

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 0000935841 (IL)

Other Emergency Medical Technician, Paramedic providers in Illinois →

Paramedic

Emergency Medical Service Providers Taxonomy 146L00000X Licence P-16058 (MO)

Registry record

NPI: 1639533391
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2016
Record last updated: 8 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.