Healthcare Provider Details

I. General information

NPI: 1285703538
Provider Name (Legal Business Name): JOHN ADAM GERLACH PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B228 LIFE SCIENCE
EAST LANSING MI
48824-1317
US

IV. Provider business mailing address

B228 LIFE SCIENCE
EAST LANSING MI
48824-1317
US

V. Phone/Fax

Practice location:
  • Phone: 517-432-3467
  • Fax: 517-353-5436
Mailing address:
  • Phone: 517-432-3467
  • Fax: 517-353-5436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246ZG1000X
TaxonomyMedical Geneticist (PhD) Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: