Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN J GERONDALE, MD
ActiveDR. BRIAN J GERONDALE, MD is a Dermatology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1548250509 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1548250509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2005 (20.830915914937 yrs)
- Last Updated
- Jan 10, 2024
- License
-
BG076576 (MI)
Practice Information
- Address
-
1740 E PARIS AVE SEGRAND RAPIDS, MI, 495466204Browse MI providers · Browse ZIP 49546
- Phone
- 6169495600
- Fax
- 6169496571
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DIPA SUMAN PATEL | MD | 1205836962 |
| DR. MARY ANN YURKO | MD | 1124012992 |
| DR. RICHARD J ASHACK | MD | 1649260688 |
| DR. ROBERT J LAMBERTS | MD | 1932199791 |
| DR. JOHN R. VYDARENY | MD | 1619958576 |
| MICHELLE MIZE EMERY | MD | 1225000292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.