Individual provider · Type 1 NPI

Tessa Gaggo, PA-C

Physician Assistant · Troy, MI

NPI number 1558712380 Active

Practice location

41069 Dequindre Rd Ste 103
Troy, MI 48085-6730

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601007750 (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 1558712380

Tessa Gaggo, PA-C's National Provider Identifier is 1558712380, issued on Jun 22, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Troy, MI. The record was last updated on Feb 2, 2026.