Organization
ASMC II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA ANN MCGILLS PA (OWNER)
(231) 667-7950
Entity
Organization
Contact information
Practice address
20626 120TH AVE, TUSTIN, MI 49688-8220
(231) 667-7950
Mailing address
20626 120TH AVE, TUSTIN, MI 49688-8220
(231) 667-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/19/2017
Last updated
02/13/2017
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