David Mark Gerecke
Podiatrist Prosthetist
3614 72nd Avenue Ct W
University Place
, Washington 98466-4407
David Mark Gerecke
Podiatrist Prosthetist
3614 72nd Avenue Ct W
University Place
, Washington 98466-4407
(253) 753-1825
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- David Mark Gerecke
- Po Box 64371
- University Place, WA
- Zip : 98464-0371
- Fax : (253) 753-1825
- Phone : (206) 450-6769
Second Address
- David Mark Gerecke
- 3614 72nd Avenue Ct W
- University Place, WA
- Zip : 98466-4407
- Fax : (253) 753-1825
- Phone : (206) 450-7669
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FAQs
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Is David Mark Gerecke a sole practitioner?
Is David Mark Gerecke accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1270 | TX |
| N | 222Z00000X | Podiatrist | 1270 | TX |
| Y | 224P00000X | Prosthetist | 1270 | TX |
National Provider Identifier
| NPI | 1437151644 |
|---|---|
| Provider Name | David Mark Gerecke |
| First Address | University Place, WA 98464-0371 |
| Second Address | University Place, WA 98466-4407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2005 |
| Last Update Date | 02/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.