Individual
KYLE DAVID GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2935 HEALTH PKWY, MT PLEASANT, MI 48858-8931
(989) 779-5259
(989) 779-5293
Mailing address
2935 HEALTH PKWY, MT PLEASANT, MI 48858-8931
(989) 779-5259
(989) 779-5293
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005166
MI
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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