Organization
ALLEGIANCE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE DAVID MUEGGENBORG FNP-BC (FAMILY NURSE PRACTITIONER)
(405) 408-6500
Entity
Organization
Contact information
Practice address
1362 HEATHERWOOD LN, ANN ARBOR, MI 48108-2813
(405) 408-6500
Mailing address
1404 W. NORTH STREET, JACKSON, MI 49202
(517) 782-2555
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
207Q00000X
MI
Other
Enumeration date
06/06/2013
Last updated
07/29/2013
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