Most Relevant Information
Provider Data
| NPI Number: | 1003800640 |
| Provider Name: | STEVEN M GUALDONI PAC |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601001259 |
Most Important Dates
| Enumeration Date: | 09/09/2005 |
| Last Updated: | 11/01/2007 |
Provider Practice Location
1414 W FAIR AVE
STE 332
MARQUETTE
MI
498552675
Practice Location Phone/Fax
| Phone: | 9062253922 |
| Fax: | 9062254527 |
Provider Mailing Location
1414 W FAIR AVE
STE 332
MARQUETTE
MI
498552675
Provider Mailing Phone/Fax
| Phone: | 9062253922 |
| Fax: | 9062254527 |