Judith Mestnik Gray in Ishpeming - Physician Assistant
Judith Mestnik Gray - NPI 1821150327
Judith Mestnik Gray is a Physician Assistant in Ishpeming, Michigan. Judith Mestnik Gray practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Judith Mestnik Gray is 1821150327. The last update date is 2022-04-05.
Judith Mestnik Gray's current location address is 97 S 4th St Ste C, Ishpeming, Michigan. You can contact this provider via phone number 9062289699 and fax number 9062280505. The mailing address for Judith Mestnik Gray is 97 S 4th St Ste C, Ishpeming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Mestnik Gray |
|---|---|
| Address | 97 S 4th St Ste C, Ishpeming, Michigan |
| Phone Number | 9062289699 |
| Fax Number | 9062280505 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1821150327 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 97 S 4th St Ste C |
|---|---|
| City | Ishpeming |
| State | Michigan (MI) |
| Post Code | 498492168 |
| Phone Number | 9062289699 |
| Fax Number | 9062280505 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601001085 |
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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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What is the Judith Mestnik Gray's unique identification number?
The Judith Mestnik Gray has been assigned the NPI (National Provider Identifier) Number 1821150327 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Judith Mestnik Gray's physical address?
The Judith Mestnik Gray is physically located at 97 S 4Th St Ste C, in the city of Ishpeming, MI, with the postal code 498492168.
What is Judith Mestnik Gray's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judith Mestnik Gray is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821150327 to Judith Mestnik Gray?
The Centers for Medicare & Medicaid Services assigned the 1821150327 to Judith Mestnik Gray on 2006-12-14.
When was the information regarding Judith Mestnik Gray most recently updated?
The details pertaining to the Judith Mestnik Gray, including its address, specialty, and other relevant information, were last refreshed on 2022-04-05.
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