Individual
GALE E EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3165 COUNTY FARM RD, JACKSON, MI 49201-4101
(517) 787-8015
(517) 787-5520
Mailing address
3165 COUNTY FARM RD, JACKSON, MI 49201-4101
(517) 787-8015
(517) 787-5520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601001831
PHYSICIAN ASSISTANT LICEN
MI
Enumeration date
07/13/2006
Last updated
08/21/2012
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