MRS. Gayle Anne Antonelli, PA-C

NPI #1720248016 in Manchester, Michigan

Provider Information

NPI Number: 1720248016
Entity Type: Individual
Name: MRS. Gayle Anne Antonelli, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 11, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 122 W MAIN ST
City: Manchester
State: Michigan
ZIP Code: 48158-1002
Phone: (734) 428-8381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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