Individual
WADE CAMERON ENGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3883
Mailing address
17534 BEECH HILL DR, GRAND HAVEN, MI 49417-9654
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005849
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N34010020
MEDICARE PTAN
MI
Enumeration date
08/16/2010
Last updated
01/13/2022
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