Elisabeth Luise Gammelin, PA | |
1 Lake Station, Lake Clinic, Yellowstone National Park, WY 82190 | |
(307) 242-7241 | |
(307) 242-7273 |
Full Name | Elisabeth Luise Gammelin |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1 Lake Station, Yellowstone National Park, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902975055 | NPI | - | NPPES |
806724500 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA-448 (Idaho) | Primary |
Mailing Address | Practice Location Address |
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Elisabeth Luise Gammelin, PA 283 N 1st E, Driggs, ID 83422-5109 Ph: (208) 354-2302 | Elisabeth Luise Gammelin, PA 1 Lake Station, Lake Clinic, Yellowstone National Park, WY 82190 Ph: (307) 242-7241 |