Organization
BRIANNE C WAGGONER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE C WAGGONER DO (OWNER)
(517) 927-9287
Entity
Organization
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
9301 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2767
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101017372
MI
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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