Individual
MICHAEL A CORREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631
(740) 446-5401
(740) 446-5408
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5401
(740) 446-5408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093541
—
OH
Enumeration date
06/18/2013
Last updated
05/15/2024
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