Individual
GERRIT WILLIAM RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 MICHIGAN ST NE STE 3410, GRAND RAPIDS, MI 49503-2563
(616) 391-9945
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101026807
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
5101026807
MI
Other
Enumeration date
04/23/2019
Last updated
09/06/2023
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