Individual
DAWN E WESENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4328 PAGE AVE, MICHIGAN CENTER, MI 49254
(517) 764-3609
(517) 764-3659
Mailing address
4328 PAGE AVE, MICHIGAN CENTER, MI 49254-1077
(517) 764-3609
(517) 764-3659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1592-023
WI
363A00000X
Physician Assistant
Primary
5601006290
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720134786
—
MI
05
—
4190800
—
WI
Enumeration date
01/25/2007
Last updated
04/24/2019
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