MR. Michael John Gillis, PA-C
NPI #1487061016 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1487061016
- Entity Type
- Individual
- Name
- MR. Michael John Gillis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 15, 2014
- Last Updated
- Jul 15, 2014
Practice Location
- Address
- 230 MAIN ST
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-1838
- Phone
- (413) 789-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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