Individual provider · Type 1 NPI

Michael J. Wren, P.A.-C

Surgical Physician Assistant · Fresno, CA

NPI number 1275689192 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Fax (559) 459-3553

Mailing address

4910 E Clinton Way, Suite 101
Fresno, CA 93727-1560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA17765 (CA)
Surgical Physician Assistant Primary 363AS0400XPA17765 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1275689192

Michael J. Wren, P.A.-C's National Provider Identifier is 1275689192, issued on Jan 25, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Dec 30, 2021.