| Marcus Wollak, | |
|
930 Blue Star Hwy, South Haven, MI 49090-7758 | |
| (269) 637-1115 | |
| Not Available |
| Full Name | Marcus Wollak |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 930 Blue Star Hwy, South Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417572827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601010639 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Wollak, 4015 Damon Ct, Eau Claire, WI 54701-3035 Ph: () - | Marcus Wollak, 930 Blue Star Hwy, South Haven, MI 49090-7758 Ph: (269) 637-1115 |
Mr. Donald Robert Salmon, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave Fl 2, South Haven, MI 49090 Phone: 269-639-2777 | |
Evan Ashley Gillo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-637-5271 Fax: 269-639-2919 | |
Anne Slachta, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 965 S Bailey Ave, Suite 2-1, South Haven, MI 49090 Phone: 269-639-2772 Fax: 269-639-2770 | |
Brice J Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-637-5271 Fax: 269-639-2818 | |
Mark A Bonasso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 S Bailey Ave Ste 1, South Haven, MI 49090 Phone: 269-639-2866 | |
Kathleen Martinez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 S Bailey Ave Ste 1, South Haven, MI 49090 Phone: 269-639-2866 |