Provider Demographics
NPI:1710158068
Name:PEARL, CATHRYN GERIAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHRYN
Middle Name:GERIAN
Last Name:PEARL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:223 N PARK ST
Mailing Address - Street 2:
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-1220
Mailing Address - Country:US
Mailing Address - Phone:231-582-5314
Mailing Address - Fax:231-582-5338
Practice Address - Street 1:829 N CENTER AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1595
Practice Address - Country:US
Practice Address - Phone:989-731-7860
Practice Address - Fax:989-731-7833
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601002501363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical