Individual
DR. CHAD MICHAEL GERRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1540 LAKE LANSING RD, SUITE 102, LANSING, MI 48912-3756
(517) 913-3810
(517) 913-3811
Mailing address
1540 LAKE LANSING RD, SUITE 102, LANSING, MI 48912-3756
(517) 913-3810
(517) 913-3811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101018675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063738458
—
MI
Enumeration date
04/11/2010
Last updated
03/06/2014
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