| Alex Wagner, Llc | |
|
1864 Lakeshore Dr Ste A Muskegon MI 49441-1607 | |
| (231) 755-1648 | |
| (231) 755-5279 |
| Full Name | Alex Wagner, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1864 Lakeshore Dr Ste A, Muskegon, Michigan |
| Authorized Official Name and Position | Tracey Gable-piper (OFFICE MANAGER) |
| Authorized Official Contact | 2317553647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Wagner, Llc 1864 Lakeshore Dr Ste A Muskegon MI 49441-1607 Ph: (231) 755-1648 | Alex Wagner, Llc 1864 Lakeshore Dr Ste A Muskegon MI 49441-1607 Ph: (231) 755-1648 |
| NPI Number | 1841805306 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841805306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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