Individual provider · Type 1 NPI

Matthew A. Waggoner, P.A.-C.

Physician Assistant · Ann Arbor, MI

NPI number 1710991732 Active

Practice location

1500 E Medical Center Dr, B1FLOOR Cancer & Geriatrics Center Recp C
Ann Arbor, MI 48109-0916

Call (734) 936-6000 Map

Mailing address

3621 S State St, 700 Kms Place
Ann Arbor, MI 48108

Other practice locations

  • 800 Riverside Dr, Waupaca, WI 54981-1943 · (715) 258-1000
  • 100 County Road B, Shawano, WI 54166-7072 · (715) 526-7308

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X50002316 (OH)
Physician Assistant Primary 363A00000X5601004953 (MI)
Physician Assistant 363A00000X4369 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1710991732

Matthew A. Waggoner, P.A.-C.'s National Provider Identifier is 1710991732, issued on Jul 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Apr 18, 2025.