Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0027449 | OH |
NPI | 1023622693 |
---|---|
Provider Name | Ross William Gerken |
First Address | Findlay, OH 45840-1214 |
Second Address | Findlay, OH 45840-1214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2020 |
Last Update Date | 01/09/2020 |