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NPI Code Detail

MEDICARE: ABIGAIL GABRIELA GEMEINHART PA

MEDICARE: ABIGAIL GABRIELA GEMEINHART PA
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 Assistant10005073AIN

General Provider Information

NPI Number : 1285519090
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL GABRIELA GEMEINHART PA
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1008
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 3500 FRANCISCAN WAY STE 300
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-0033
Country : US
Telephone Number : 219-877-1101
Fax Number : 219-877-1187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2025
Last Update Date : 12/09/2025

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