Individual
BRIAN T GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, FAAO
Contact information
Practice address
1025 GRAND LAKE RD, CELINA, OH 45822
(419) 586-3151
(419) 586-1059
Mailing address
1025 GRAND LAKE RD, CELINA, OH 45822
(419) 586-3151
(419) 586-1059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5038T1915
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L2228397
—
OH
Enumeration date
03/29/2006
Last updated
04/06/2011
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