National Provider Identifier Database

MYLES D KEROACK, MD – NPI #1013998582
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

MYLES D KEROACK, MD
2116 CRAIG RD
EAU CLAIRE, WI54701-6149
Phone: 715-858-4500
Fax:
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for MYLES D KEROACK

NPI Number 1013998582
Credentials MD
Entity Individual
Enumeration date 11/10/2005
Last updated 07/06/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 72672
  • WI License #: 55795
  • MA Medicaid: 3088898
  • MA Other: J10606 BCBS MA
  • MA Other: 072672 TUFTS HEALTH PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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