Marcie Gore, PA-C

NPI #1174961940 in Washington, Michigan

Provider Information

NPI Number: 1174961940
Entity Type: Individual
Name: Marcie Gore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 13, 2013
Last Updated: Jun 30, 2015

Practice Location

Address: 12150 30 MILE RD
City: Washington
State: Michigan
ZIP Code: 48095-2035
Phone: (586) 752-7256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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