Individual
MARY A GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
49641 REGATTA ST, CHESTERFIELD, MI 48047-2363
(586) 725-0969
(586) 203-1060
Mailing address
49641 REGATTA ST, CHESTERFIELD, MI 48047-2363
(586) 725-0969
(586) 203-1060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704126749
MI
163WX1500X
Ostomy Care Registered Nurse
199934367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0319227
AMERICAN NURSES CREDENTIALING CENTER, CNS
MI
01
—
199934367
WOCN
MI
Enumeration date
08/18/2010
Last updated
08/18/2010
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