NPI 1003239500

Gina Marie O'Callaghan, PAC

Practitioner Physician Assistant Portage, MI

Practice location

Address: 3000 Old Centre Rd, Portage, MI 49024-4883
Phone: (269) 321-7546
Fax: (269) 321-1705
Mailing address: 2180 Henry Tecklenburg Dr, Charleston, SC 29414-5798

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601006884 (MI)

Other Physician Assistant providers in Michigan →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2108 (SC)

Registry record

NPI: 1003239500
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2014
Record last updated: 28 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.