MICHAEL J GILLIS

RIVERBEND MEDICAL GROUP INC

Dr MICHAEL J GILLIS is a male medical professional, specializing in Physician Assistant. He graduated in 2014.

Contact

RIVERBEND MEDICAL GROUP INC

230 MAIN ST
AGAWAM
MA
010011838

Tel: 4137896800

MICHAEL J GILLIS Information

Npi 1487061016
Pac Id 7517187842
Professional Enrollment Id I20141008000777
Last Name GILLIS
First Name MICHAEL
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RIVERBEND MEDICAL GROUP INC
Group Practice Pac Id 5698064343
Number Of Group Practice Members 187
Line 1 Street Address 230 MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AGAWAM
State MA
Zip Code 010011838
Phone Number 4137896800
Hospital Affiliation Ccn 1 220066
Hospital Affiliation Lbn 1 MERCY MEDICAL CTR
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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