Organization
ALEX WAGNER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY GABLE-PIPER CPC (OFFICE MANAGER)
(231) 755-3647
Entity
Organization
Contact information
Practice address
1864 LAKESHORE DR STE A, MUSKEGON, MI 49441-1607
(231) 755-1648
(231) 755-5279
Mailing address
1864 LAKESHORE DR STE A, MUSKEGON, MI 49441-1607
(231) 755-1648
(231) 755-5279
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/15/2020
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