JEFFERY DALE WIRGAU

ALPENA, MI
NPI1003122169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601005846)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
-- JEFFERY DALE WIRGAU PAC
400 JOHNSON ST
ALPENA, MI 49707-1434
Phone number: 989-356-2161
Mailing Address
-- JEFFERY DALE WIRGAU PAC
3267 W NICHOLSON HILL RD
OSSINEKE, MI 49766-9722
Phone number: 989-590-1977
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