Individual
ASHLEY GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 235-1480
Mailing address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 235-1480
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006882
MI
Other
Enumeration date
12/10/2013
Last updated
03/05/2017
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