Individual
GABRIELLE PLUYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 N DAMEN AVE, CHICAGO, IL 60622-1967
(312) 283-5560
Mailing address
159 BERMUDA DR, MANKATO, MN 56001-4122
(507) 720-2531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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