Provider Demographics
NPI:1366593915
Name:ERB, GREGORY MARCUS (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:MARCUS
Last Name:ERB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:704 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:KS
Mailing Address - Zip Code:67063-1530
Mailing Address - Country:US
Mailing Address - Phone:620-947-1421
Mailing Address - Fax:620-947-3701
Practice Address - Street 1:704 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:KS
Practice Address - Zip Code:67063-1530
Practice Address - Country:US
Practice Address - Phone:620-947-1421
Practice Address - Fax:620-947-3701
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-06448207X00000X
KS04-34857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery