# MR. MICHAEL GERARD DEPALMA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023071677
- **Gender:** Man
- **Credential:** P.A.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | MA051333 | PA | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 01/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1587595 | GATEWAY MEDICARE ASSURED | PA |
| 01 | — | 2696619 | HIGHMARK BLUE SHIELD - FREEDOM BLUE | PA |