Individual
DR. GERARD EDWARD FARAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1715 4 MILE RD NE, GRAND RAPIDS, MI 49525-2440
(616) 447-8577
Mailing address
1715 4 MILE RD NE, GRAND RAPIDS, MI 49525-2440
(616) 447-8577
(616) 447-8611
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2301007051
MI
111NI0013X
Independent Medical Examiner Chiropractor
DC23160
CA
Other
Enumeration date
10/23/2008
Last updated
05/13/2016
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