Renee Deanne Mesack P.A.-C

NPI 1629005111 - Physician Assistant - 363A00000X

NPI Details
NPI 1629005111
Gender Female
Enumeration Date 06/28/2006
Last Updated 12/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1996 WALDEN DR
GAYLORD MI, 49735-8241, US
Phone (989) 731-4111
Fax (989) 705-8511
Business Location
829 N CENTER AVE
SUITE 298
GAYLORD MI, 49735-1595, US
Phone (989) 731-7708
Fax (989) 731-7929
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601002853
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According to our database, Renee Deanne Mesack P.A.-C NPI is 1629005111, taxonomy code is 363A00000X and license number is 5601002853, license state is located at Michigan. Renee Deanne Mesack P.A.-C physically located at 1996 Walden Dr, Gaylord MI, 49735-8241. NPI Number Renee Deanne Mesack P.A.-C has the Individual type.

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1629005111 NPI number is provided on an as is basis without warranty of any kind. 1629005111 is maintained by the National Plan & Provider Enumeration System. The contents of Renee Deanne Mesack P.A.-C are for informational purposes only.