Provider Demographics
NPI:1710698410
Name:GASAWAY, PIPER (PA)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:
Last Name:GASAWAY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:366 W ANN ARBOR TRL
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1669
Mailing Address - Country:US
Mailing Address - Phone:734-536-1916
Mailing Address - Fax:
Practice Address - Street 1:W180N8085 TOWN HALL RD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-3518
Practice Address - Country:US
Practice Address - Phone:262-251-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant