NPI 1003122169

Jeffery Dale Wirgau, PAC

Practitioner Medical Physician Assistant Alpena, MI

Practice location

Address: 400 Johnson St, Alpena, MI 49707-1434
Phone: (989) 356-2161
Mailing address: 3267 W Nicholson Hill Rd, Ossineke, MI 49766-9722

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5601005846 (MI)

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Registry record

NPI: 1003122169
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2010
Record last updated: 27 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.