Individual
MS. GAYE LYNN PAGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C.
Contact information
Practice address
411 W BROADWAY ST, SUITE C, MT PLEASANT, MI 48858-2446
(989) 317-8383
Mailing address
815 W BROADWAY ST # U, UNIT 4, MT PLEASANT, MI 48858-2215
(330) 635-9268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001966
MI
363AM0700X
Medical Physician Assistant
5601001966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBS GROUP NUMBER
MI
Enumeration date
09/04/2008
Last updated
08/27/2015
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