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Individual

DR. GERALD DEAN NATZKE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2284 S BALLENGER HWY, SUITE H, FLINT, MI 48503-4653
(810) 233-5211
(810) 233-5740
Mailing address
2284 S BALLENGER HWY, SUITE H, FLINT, MI 48503-4653
(810) 233-5211
(810) 233-5740

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GN008130
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3048803
MI
01
5250046
BCBS
MI
Enumeration date
03/18/2006
Last updated
10/25/2007
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