Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 5101010741 | MI |
NPI | 1003849308 |
---|---|
Provider Name | Geron D Turke |
First Address | Grand Rapids, MI 49503-4328 |
Second Address | Grand Rapids, MI 49525-7042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3080014 | (05) | MI |
3080023 | (05) | MI |
4185370 | (05) | MI |
4877400 | (05) | MI |
4878103 | (05) | MI |
4878794 | (05) | MI |
G14996 | (02) | MI |