Individual
JEFFREY MICHAEL GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 W WACKERLY ST, SUITE 2600, MIDLAND, MI 48640-4722
(989) 839-8865
(989) 631-7337
Mailing address
555 W WACKERLY ST, SUITE 2600, MIDLAND, MI 48640-4722
(989) 839-8865
(989) 631-7337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003053
MI
Other
Enumeration date
06/22/2006
Last updated
10/25/2011
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