Individual
MR. GARY GIRARD ERRIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601002523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P06370003
MEDICARE
MI
01
—
0P06380003
MEDICARE
MI
01
—
700F312990
BCBS ID
MI
Enumeration date
03/01/2006
Last updated
05/28/2008
Update your record
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