Individual provider · Type 1 NPI

Andrew Dagenais

Student in an Organized Health Care Education/Training Program · Wyoming, MI

NPI number 1477302016 Active

Practice location

5900 Byron Center Ave SW
Wyoming, MI 49519-9606

Call (616) 252-7200 Map

Fax (616) 252-4953

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5151016664 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477302016

Andrew Dagenais's National Provider Identifier is 1477302016, issued on May 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wyoming, MI. The record was last updated on May 16, 2024.