Individual
MELISSA ANNE GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6290
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
209025313
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209025313
IL
Other
Enumeration date
06/30/2022
Last updated
07/08/2022
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