Individual
BONNIE JEAN WIRGAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704273603
MI
163WC0400X
Case Management Registered Nurse
4704273603
MI
Other
Enumeration date
10/13/2023
Last updated
07/09/2026
Update your record
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