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NPI Code Detail

MEDICARE: ASHLEY LYNN GESHRICK

MEDICARE: ASHLEY LYNN GESHRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1710420328
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LYNN GESHRICK
Provider Business Mailing Address
First Line : 23745 J DR S
Second Line :
City : HOMER
State : MI
Zip : 49245-9438
Country : US
Telephone Number : 517-701-9693
Fax Number :
Provider Business Practice Location Address
First Line : 1001 LAURENCE AVE STE E
Second Line :
City : JACKSON
State : MI
Zip : 49202-2980
Country : US
Telephone Number : 517-750-4777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 10/20/2020

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Directions to “ ASHLEY LYNN GESHRICK ” Practice Location

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