Thea N Clouse-gawronski PA-C

NPI 1063537819 - Physician Assistant - 363A00000X

NPI Details
NPI 1063537819
Gender Female
Enumeration Date 03/20/2007
Last Updated 09/13/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1675 LEAHY ST
SUITE 401
MUSKEGON MI, 49442-5500, US
Phone (231) 727-4243
Fax (231) 727-4262
Business Location
PO BOX 1847
MUSKEGON MI, 49443-1847, US
Phone (231) 727-4444
Fax (231) 728-4789
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601004262
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According to our database, Ms. Thea N Clouse-gawronski PA-C NPI is 1063537819, taxonomy code is 363A00000X and license number is 5601004262, license state is located at Michigan. Thea N Clouse-gawronski PA-C physically located at 1675 Leahy St, Muskegon MI, 49442-5500. NPI Number Thea N Clouse-gawronski PA-C has the Individual type.

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1063537819 NPI number is provided on an as is basis without warranty of any kind. 1063537819 is maintained by the National Plan & Provider Enumeration System. The contents of Thea N Clouse-gawronski PA-C are for informational purposes only.