Individual provider · Type 1 NPI

Mark F. Gillette, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1043482680 Active

Practice location

3355 Eagle Park Dr NE, Suite 103
Grand Rapids, MI 49525-7004

Call (616) 942-7400 Map

Fax (616) 942-7405

Mailing address

PO Box 1239
Troy, MI 48099-1239

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601002367 (MI)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043482680

Mark F. Gillette, PA-C's National Provider Identifier is 1043482680, issued on Mar 24, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 10, 2014.