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JEFFERY DALE WIRGAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
Mailing address
3267 W NICHOLSON HILL RD, OSSINEKE, MI 49766-9722
(989) 590-1977

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005846
MI

Other

Enumeration date
08/27/2010
Last updated
08/27/2010
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