IndividualActive
Adam Moffatt, PA
NPI 1386364784 · Physician Assistant · Gaylord, MI
Provider details
- NPI number
- 1386364784
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 5601011331TMP22 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1951 S Otsego Ave
Gaylord, MI 49735-8489
Phone: (989) 732-3284
Fax: (989) 732-6395
Approximate (ZIP-level) locationGet directions
Mailing address
1951 S Otsego Ave
Gaylord, MI 49735-8489
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.