Individual
DR. JONATHAN BLAKE GERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3830 FORT ST, LINCOLN PARK, MI 48146-4107
(313) 383-6800
Mailing address
5084 CHAMPLAIN CIR, WEST BLOOMFIELD, MI 48323-3528
(248) 851-8484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020393
MI
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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