Individual
DR. JEROME GERENRAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
39601 VAN DYKE AVE, STERLING HTS, MI 48313-4625
(586) 939-5400
(586) 979-3333
Mailing address
39601 VAN DYKE AVE, STERLING HTS, MI 48313-4625
(586) 939-5400
(586) 979-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901008727
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4027610
—
MI
Enumeration date
07/27/2006
Last updated
07/08/2007
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