Thea N Clouse-Gawronsk in Muskegon - Physician Assistant
Thea N Clouse-Gawronsk - NPI 1063537819
Thea N Clouse-Gawronsk is a Physician Assistant in Muskegon, Michigan. Thea N Clouse-Gawronsk practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thea N Clouse-Gawronsk is 1063537819. The last update date is 2023-10-16.
Thea N Clouse-Gawronsk's current location address is 1150 E Sherman Blvd Ste 2400, Muskegon, Michigan. You can contact this provider via phone number 2316724243 and fax number 2317274217. The mailing address for Thea N Clouse-Gawronsk is 1150 E Sherman Blvd Ste 2400, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thea N Clouse-Gawronsk |
|---|---|
| Address | 1150 E Sherman Blvd Ste 2400, Muskegon, Michigan |
| Phone Number | 2316724243 |
| Fax Number | 2317274217 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063537819 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2023-10-16 |
Provider Mailing Address Detail
| Address | 1150 E Sherman Blvd Ste 2400 |
|---|---|
| City | Muskegon |
| State | Michigan (MI) |
| Post Code | 494441886 |
| Phone Number | 2316724243 |
| Fax Number | 2317274217 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004262 |
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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 |
|---|---|---|---|
| 5411258 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Thea N Clouse-Gawronsk by the Centers for Medicare & Medicaid Services (CMS)?
The Thea N Clouse-Gawronsk has been assigned the NPI (National Provider Identifier) 1063537819. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Thea N Clouse-Gawronsk's facilities are situated?
The facilities of Thea N Clouse-Gawronsk are physically located at the following address: 1150 E Sherman Blvd Ste 2400, Muskegon, MI, 494441886.
What is Thea N Clouse-Gawronsk's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thea N Clouse-Gawronsk is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063537819 to Thea N Clouse-Gawronsk?
The Thea N Clouse-Gawronsk received its 1063537819 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information pertaining to Thea N Clouse-Gawronsk most recently updated or revised?
The details related to Thea N Clouse-Gawronsk, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-16.
NPI Number: 1215930573
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