Individual
GERALD THOMPSON CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD CCC-A
Contact information
Practice address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-7301
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-7301
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
GC000087
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC000087
STATE LICENSE NUMBER
MI
01
—
GC681734
BCBS
MI
Enumeration date
09/28/2006
Last updated
07/09/2007
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