Individual
ASHLEY MCCLAIN GOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
850 S HEALTH PARKWAY, THREE RIVERS, MI 49093-8358
(269) 279-5240
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-001923
IL
363A00000X
Physician Assistant
Primary
5601006385
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619038288
—
MI
Enumeration date
12/13/2006
Last updated
11/17/2023
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