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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601005846 (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.