| Dr Agw Pllc | |
|
6136 S 30th St Kalamazoo MI 49048-9344 | |
| (504) 273-1556 | |
| (517) 323-9531 |
| Full Name | Dr Agw Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6136 S 30th St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Agw Pllc 6136 S 30th St Kalamazoo MI 49048-9344 Ph: (504) 273-1556 | Dr Agw Pllc 6136 S 30th St Kalamazoo MI 49048-9344 Ph: (504) 273-1556 |
| NPI Number | 1740038223 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740038223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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