Mark Alan Gellasch, PHYSICIAN ASSISTANT

NPI #1902876931 in Norfolk, Virginia

Provider Information

NPI Number
1902876931
Entity Type
Individual
Name
Mark Alan Gellasch, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Jan 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
BRANCH MEDICAL CLINIC NORFOLK
Address 2
1721 TAUSSIG BLVD
ZIP Code
23511
Phone
(757) 314-6377

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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