Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa Gardner, PA-C

Individual provider Physician Assistant · NPI 1780979971

Marisa Gardner, PA-C is a Physician Assistant in Manistee, Michigan. Works from 2 locations. Licensed in Florida and Michigan.

Licensed in
FL, MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1293 E Parkdale Ave
Manistee, MI 49660
Phone: (231) 398-1735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5300 W Hillsboro Blvd, Coconut Creek, FL 33073-4395 — (954) 725-4141

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006014 (MI)
Physician Assistant Taxonomy 363A00000X · Licence PA9108031 (FL)

Record details

NPI number1780979971
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2011
Last updated in NPPESAugust 21, 2019
Mailing address1293 E Parkdale Ave Ste 2300b, Manistee, MI 49660-8989

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