Marisa Gardner, PA-C

NPI #1780979971 in Manistee, Michigan

Provider Information

NPI Number: 1780979971
Entity Type: Individual
Name: Marisa Gardner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 15, 2011
Last Updated: Aug 21, 2019

Practice Location

Address: 1293 E PARKDALE AVE
City: Manistee
State: Michigan
ZIP Code: 49660
Phone: (231) 398-1735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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