Skrocki, Gerard John

Skrocki, Gerard John is an sole proprietor health care provider with primary practice located at 42370 Van Dyke Suite 104, Sterling Heights MI 48314. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Skrocki, Gerard John can be contacted via phone (586) 254-2211.

Contact Information

Primary practice address
42370 Van Dyke Suite 104 Sterling Heights MI 48314
Phone: (586) 254-2211
Fax: (586) 254-2297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X GS000898 Michigan

Profile Details

NPI number 1851307573
LBN Legal business name Skrocki, Gerard John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jun 9th, 2009 - 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 1851307573 NPPES
Michigan MEDICAID 2101773

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