DAVID MARK GERECKE

UNIVERSITY PLACE, WA
NPI1437151644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  1270)
Additional Taxonomies222Z00000X 
(Licence: TX  1270)
Enumeration Date2005-06-01
Last Update Date2025-06-08
Business Address
DAVID MARK GERECKE CPO, FAAOP
3614 72ND AVENUE CT W
UNIVERSITY PLACE, WA 98466-4407
Phone number: 206-450-7669
Mailing Address
DAVID MARK GERECKE CPO, FAAOP
PO BOX 64371
UNIVERSITY PLACE, WA 98464-0371
Phone number: 206-450-6769