person
Emily Grace Gouker, PA-C
Medical Physician Assistant in Mishawaka, Indiana
NPI 1447922638

Emily Grace Gouker is a Medical Physician Assistant based in Mishawaka, IN and is specialized in Medical. Emily Grace Gouker practices in Mishawaka, IN and has the professional credentials of PA-C. The NPI Number for Emily Grace Gouker is 1447922638 and holds a License No. 10003411A (Indiana).

The current practice location address for Emily Grace Gouker is 270 E Day Rd Ste 280, Mishawaka, IN and can be reached out via phone at 574-271-0268 and via fax at 574-271-0395. You can also correspond with Emily Grace Gouker through the mailing address at 270 E DAY RD STE 280, MISHAWAKA, IN - 46545-3452 (mailing address contact number: 574-271-0268).

Location: 270 E Day Rd Ste 280, Mishawaka, IN, 46545-3452
person
Provider Profile Details
NPI Number
1447922638
Provider Name
Emily Grace Gouker
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
270 E Day Rd Ste 280, Mishawaka, IN, 46545-3452
Phone Number
574-271-0268
Fax Number
574-271-0395
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100092300 05 IN
000000090717 01 IN BCBS
110052119 01 IN RR MIDICARE
institution
Provider Business Practice Location Address Details
Address
270 E Day Rd Ste 280
City
State
Zip
46545-3452
Phone Number
574-271-0268
Fax Number
574-271-0395
person
Provider Business Mailing Address Details
Address
270 E Day Rd Ste 280
City
State
Zip
46545-3452
Phone Number
574-271-0268
Fax Number
574-271-0395
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10003411A (Indiana)
Definition
Definition to come...
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