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NPI Code Detail

MEDICARE: MARIE GUDZ GERECKE CNM

MEDICARE: MARIE GUDZ GERECKE CNM
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
1367A00000XAdvanced Practice Midwife2275510MA
2367A00000XAdvanced Practice Midwife

General Provider Information

NPI Number : 1407130529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE GUDZ GERECKE CNM
Provider Business Mailing Address
First Line : 5000 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2440
Country : US
Telephone Number : 614-235-5555
Fax Number :
Provider Business Practice Location Address
First Line : 5000 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2440
Country : US
Telephone Number : 614-235-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2011
Last Update Date : 04/02/2025

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Directions to “ MARIE GUDZ GERECKE CNM” Practice Location

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