Jeffery Dale Wirgau, PAC
Physician Assistant, Medical in Alpena, MI. Individual provider (NPI-1).
NPI number1003122169
StatusActive
Last updated in NPPESAug 27, 2010
Details
- NPI
- 1003122169
- Entity type
- Individual (NPI-1)
- Name
- Jeffery Dale Wirgau
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2010
- Last updated
- Aug 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5601005846 | MI | Yes |
Practice location
400 Johnson StAlpena, MI 49707-1434
Phone 989-356-2161
Mailing address
3267 W Nicholson Hill RdOssineke, MI 49766-9722
Phone 989-590-1977
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Alpena, MI
- James B Cook, PA-CNPI 1598759672
- Cari A Stenz, PANPI 1548424740
- Rodney Szymanski, PA-CNPI 1780678961
- Cody Wenzel, PANPI 1417378985
All 5 Medical Physician Assistant providers in Alpena · All 945 providers in Alpena
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.