Individual
DR. GERALD K VASILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041161A
IN
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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