Individual
MRS. RENAE LEAH GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 HIGHLAND WAY STE K, MITCHELL, SD 57301-6409
(605) 996-0440
(605) 996-0401
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0641
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0641
STATE LICENSE
SD
Enumeration date
01/15/2007
Last updated
04/18/2022
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