Individual provider · Type 1 NPI

Mark Alan Gellasch, PHYSICIAN ASSISTANT

Medical Physician Assistant · Norfolk, VA

NPI number 1902876931 Active

Practice location

Branch Medical Clinic Norfolk, 1721 Taussig Blvd
Norfolk, VA 23511

Call (757) 314-6377 Map

Mailing address

2753 Sandpiper Rd
Virginia Beach, VA 23456-4516

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110000034 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1902876931

Mark Alan Gellasch, PHYSICIAN ASSISTANT's National Provider Identifier is 1902876931, issued on Jan 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norfolk, VA. The record was last updated on Jul 13, 2026.