Wolfredrick McMichael, CFA
Physician Assistant, Surgical in Eugene, OR. Individual provider (NPI-1).
NPI number1760628796
StatusActive
Last updated in NPPESMar 8, 2024
Details
- NPI
- 1760628796
- Entity type
- Individual (NPI-1)
- Name
- Wolfredrick McMichael
- Credential
- CFA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2008
- Certification date
- Mar 8, 2024
- Last updated
- Mar 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – |
Practice location
55 Coburg RdEugene, OR 97401-2433
Phone 541-485-8111 · Fax 541-342-6379
Mailing address
3470 McClure Bridge Rd Unit 443Duluth, GA 30096-1102
Phone 678-404-5119
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