Individual
MRS. HEATHER MICHELLE GERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04580
MD
Other
Enumeration date
09/24/2011
Last updated
11/04/2016
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