Individual
MR. GERARD REMILLARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 N 10TH ST, KALAMAZOO, MI 49009-6192
(248) 460-3434
Mailing address
890 N 10TH ST, KALAMAZOO, MI 49009-6192
(248) 460-3434
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106060
MI
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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