Individual
JODI A GEBSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3050 COMMERCE DR, FORT GRATIOT, MI 48059-3819
(810) 385-4441
(810) 385-1540
Mailing address
3050 COMMERCE DR, FORT GRATIOT, MI 48059-3819
(810) 385-4441
(810) 385-1540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704156730
MI
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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