Darnell B Ganley in Traverse City - Physician Assistant
Darnell B Ganley - NPI 1881650935
Darnell B Ganley is a Physician Assistant in Traverse City, Michigan. Darnell B Ganley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Darnell B Ganley is 1881650935. The last update date is 2019-03-15.
Darnell B Ganley's current location address is 4075 Copper Ridge Dr, Traverse City, Michigan. You can contact this provider via phone number 8002531795 and fax number 2319461730. The mailing address for Darnell B Ganley is 4075 Copper Ridge Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darnell B Ganley |
|---|---|
| Address | 4075 Copper Ridge Dr, Traverse City, Michigan |
| Phone Number | 8002531795 |
| Fax Number | 2319461730 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1881650935 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2019-03-15 |
Provider Mailing Address Detail
| Address | 4075 Copper Ridge Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496847059 |
| Phone Number | 8002531795 |
| Fax Number | 2319461730 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1500669 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100357640D | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Darnell B Ganley by the Centers for Medicare & Medicaid Services?
The Darnell B Ganley has been assigned the NPI (National Provider Identifier) 1881650935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Darnell B Ganley?
The Darnell B Ganley is situated at 4075 Copper Ridge Dr, in the city of Traverse City, state of MI, with the zip code 496847059.
What is Darnell B Ganley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Darnell B Ganley is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Darnell B Ganley receive its 1881650935 assignment?
The Darnell B Ganley was assigned its 1881650935 on 2006-04-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Darnell B Ganley most recently updated or revised?
The information pertaining to Darnell B Ganley, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-15.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA