Paul F Gualtier PAC

NPI 1093705493 - Physician Assistant - 363A00000X

NPI Details
NPI 1093705493
Gender Male
Enumeration Date 10/26/2005
Last Updated 08/29/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2815 S PENNSYLVANIA AVE
STE 204
LANSING MI, 48910-3496, US
Phone (517) 267-0200
Fax (517) 267-1877
Business Location
2815 S PENNSYLVANIA AVE
STE 204
LANSING MI, 48910-3496, US
Phone (517) 267-0200
Fax (517) 267-1877
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number PG001470
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According to our database, Paul F Gualtier PAC NPI is 1093705493, taxonomy code is 363A00000X and license number is PG001470, license state is located at Michigan. Paul F Gualtier PAC physically located at 2815 S Pennsylvania Ave, Lansing MI, 48910-3496. NPI Number Paul F Gualtier PAC has the Individual type.

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1093705493 NPI number is provided on an as is basis without warranty of any kind. 1093705493 is maintained by the National Plan & Provider Enumeration System. The contents of Paul F Gualtier PAC are for informational purposes only.