Individual
INDRE GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4394
Mailing address
PO BOX 3294, TUPELO, MS 38803-3294
(662) 377-4394
(662) 377-7045
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
901822
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
173829
TN
Other
Enumeration date
07/28/2015
Last updated
04/17/2023
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