Individual provider · Type 1 NPI

Michael John Gillis, PA-C

Medical Physician Assistant · Agawam, MA

NPI number 1487061016 Active

Practice location

230 Main St
Agawam, MA 01001-1838

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA5093 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1487061016

Michael John Gillis, PA-C's National Provider Identifier is 1487061016, issued on Jul 15, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Agawam, MA. The record was last updated on Jul 15, 2014.