Individual provider · Type 1 NPI

Ryan Christopher Gericke, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1659124162 Active

Practice location

111 S 11th St Ste 8290
Philadelphia, PA 19107-4824

Fax (215) 955-0677

Mailing address

3 Black Latch Ln
Cherry Hill, NJ 08003-1403

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659124162

Ryan Christopher Gericke, DO's National Provider Identifier is 1659124162, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 8, 2024.