Individual
HEATHER A GERAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
841 COLLAR PRICE RD SE, BROOKFIELD, OH 44403-9777
(330) 599-8345
Mailing address
841 COLLAR PRICE RD SE, BROOKFIELD, OH 44403-9777
(330) 599-8345
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
M6702590
OH
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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