Individual
BONNIE J. GERECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 SAINT PAUL PL, SUTIE 402, BALTIMORE, MD 21202-2102
(410) 649-3485
(410) 659-2817
Mailing address
301 SAINT PAUL PL, SUTIE 402, BALTIMORE, MD 21202-2102
(410) 649-3485
(410) 659-2817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DOO64758
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00729836
R/R MEDICARE PIN
MD
Enumeration date
10/27/2006
Last updated
01/16/2014
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