Individual
GEERTRUIDA C ROER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
28800 RYAN RD, SUITE 320, WARREN, MI 48092-4272
(586) 620-8100
(866) 227-7418
Mailing address
2640 87TH ST SW, BYRON CENTER, MI 49315-9236
(616) 878-1313
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704142979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500024152
RAILROAD MEDICARE
MI
01
—
500F410070
BCBS
MI
Enumeration date
07/02/2006
Last updated
10/24/2012
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