Individual
AMY GASSO MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
39500 W 10 MILE RD, SUITE 100, NOVI, MI 48375-2947
(248) 476-0035
Mailing address
39500 W 10 MILE RD STE 100, NOVI, MI 48375-2947
(248) 476-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007196
MI
Other
Enumeration date
10/01/2014
Last updated
02/27/2020
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