Individual provider · Type 1 NPI

Jeffery Dale Wirgau, PAC

Medical Physician Assistant · Alpena, MI

NPI number 1003122169 Active

Practice location

400 Johnson St
Alpena, MI 49707-1434

Mailing address

3267 W Nicholson Hill Rd
Ossineke, MI 49766-9722

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601005846 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1003122169

Jeffery Dale Wirgau, PAC's National Provider Identifier is 1003122169, issued on Aug 27, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Alpena, MI. The record was last updated on Aug 27, 2010.