Individual provider · Type 1 NPI

Daniel Richard Gottschalk, PAC

Medical Physician Assistant · Detroit, MI

NPI number 1376599027 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Fax (810) 765-8169

Mailing address

4266 Arbour Dr
Commerce Township, MI 48390-4100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1376599027

Daniel Richard Gottschalk, PAC's National Provider Identifier is 1376599027, issued on May 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 10, 2013.