Individual
MS. ABBIE NICOLE GISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
26280 BIRCHCREST DR, CHESTERFIELD, MI 48051-3011
(586) 482-2243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008195
MI
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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