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NPI Code Detail

MEDICARE: MELISSA GATZ PA-C

MEDICARE:   MELISSA  GATZ  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.004764RXOH

General Provider Information

NPI Number : 1962958132
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA GATZ PA-C
Provider Business Mailing Address
First Line : 5400 FRANTZ RD STE 250
Second Line :
City : DUBLIN
State : OH
Zip : 43016-6102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 285 E STATE ST STE 260
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4322
Country : US
Telephone Number : 614-566-9035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 01/04/2023

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Directions to “ MELISSA GATZ PA-C” Practice Location

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