Individual
JILL M. WIERGOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-5318
Mailing address
291 OAK ISLAND DR, WOLVERINE LAKE, MI 48390-2041
(248) 931-0082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002932
MI
Other
Enumeration date
05/23/2006
Last updated
08/16/2022
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