IndividualActive
Adam Gomoll, PA C
NPI 1598730715 · Physician Assistant · East Lansing, MI
Provider details
- NPI number
- 1598730715
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601005313 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2601 Coolidge Rd Ste 200
East Lansing, MI 48823-6381
Phone: (517) 203-3000
Fax: (517) 203-3003
Approximate (ZIP-level) locationGet directions
Mailing address
801 York St
Manitowoc, WI 54220-4630
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.