Gerondale, Norbert Paul

Gerondale, Norbert Paul is an sole proprietor health care provider with primary practice located at 17210 Van Wagoner Rd , Spring Lake MI 49456-9702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gerondale, Norbert Paul can be contacted via phone (616) 604-6040.

Contact Information

Primary practice address
17210 Van Wagoner Rd Spring Lake MI 49456-9702
Phone: (616) 604-6040
Fax: (616) 604-6046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301405952 Michigan

Profile Details

NPI number 1235152158
LBN Legal business name Gerondale, Norbert Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235152158 NPPES
Michigan Other 1107010721 BLUE CROSS BLUE SHEILD

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