Individual
GARY DWAYNE TEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 MAPLE ST, SAINT LOUIS, MI 48880-1335
(989) 817-6234
Mailing address
616 MAPLE ST, SAINT LOUIS, MI 48880-1335
(989) 817-6234
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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