Individual
STACI GERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3215 EAGLE CREST DR NE, GRAND RAPIDS, MI 49525-7005
(616) 222-7007
(616) 456-5692
Mailing address
3215 EAGLE CREST DR NE, GRAND RAPIDS, MI 49525-7005
(616) 222-7007
(616) 456-5692
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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