Individual
ANGELA WIGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3483 E 8 MILE RD, WHITE CLOUD, MI 49349-9645
(231) 580-4122
Mailing address
3483 E 8 MILE RD, WHITE CLOUD, MI 49349-9645
(231) 580-4122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704216901
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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