| NPI | 1710498514 |
|---|---|
| Doing Business As | GERALD L. IGNACE INDIAN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA SCHULNER Provider Enrollment Specialist 414-316-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2025-06-19 |