Individual
DR. JULIEMARIE GERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
814 LAPORTE AVE, VALPARAISO, IN 46383-5860
(219) 263-4600
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01041276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01041276A
INDIANA LICENSE
IN
01
—
01041276B
CSR
IN
Enumeration date
07/11/2006
Last updated
03/07/2023
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