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Mark Alan Gellasch, PHYSICIANASSISTANT
Medical Physician Assistant in Norfolk, Virginia
NPI 1902876931

Mark Alan Gellasch is a Medical Physician Assistant based in Virginia Beach, VA and is specialized in Medical. Mark Alan Gellasch practices in Norfolk, VA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Mark Alan Gellasch is 1902876931 and holds a License No. 0110000034 (Virginia).

The current practice location address for Mark Alan Gellasch is Branch Medical Clinic Norfolk, Norfolk, VA and can be reached out via phone at 757-314-6377.

Location: Branch Medical Clinic Norfolk, Norfolk, VA, 23456-4516
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Provider Profile Details
NPI Number
1902876931
Provider Name
Mark Alan Gellasch
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
Branch Medical Clinic Norfolk, Norfolk, VA, 23456-4516
Phone Number
757-314-6377
Fax Number
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0110000034 01 VA STATE MEDICAL LICENCE
1003448 01 NATIONAL CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
Branch Medical Clinic Norfolk
City
State
Zip
23511
Phone Number
757-314-6377
Fax Number
person
Provider Business Mailing Address Details
Address
Branch Medical Clinic Norfolk
City
State
Zip
23511
Phone Number
757-314-6377
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110000034 (Virginia)
Definition
Definition to come...
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