# ARTESIAN SPRINGS MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tricia Ann McGillis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225205438
- **Authorized official:** TRICIA ANN MCGILLIS PA-C, MPAS (SOLE PROPRIETOR)
- **Authorized official phone:** (231) 743-0150

## Contact information

- **Practice address:** 100 E MAIN ST, MARION, MI 49665-9642
- **Practice address phone:** (231) 743-0150
- **Practice address fax:** (231) 743-0152
- **Mailing address:** 100 E MAIN ST, PO BOX 578, MARION, MI 49665-9642
- **Mailing address phone:** (231) 743-0150
- **Mailing address fax:** (231) 743-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 5601003629 | MI | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 05/15/2008