Nathan A Wloch PA

NPI 1356546949 - Physician Assistant - 363A00000X

NPI Details
NPI 1356546949
Gender Male
Enumeration Date 06/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
44201 DEQUINDRE RD
TROY MI, 48085-1117, US
Phone (248) 964-8433
Fax (248) 423-2576
Business Location
44201 DEQUINDRE RD
TROY MI, 48085-1117, US
Phone (248) 964-8433
Fax (248) 423-2576
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601005025
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According to our database, Nathan A Wloch PA NPI is 1356546949, taxonomy code is 363A00000X and license number is 5601005025, license state is located at Michigan. Nathan A Wloch PA physically located at 44201 Dequindre Rd, Troy MI, 48085-1117. NPI Number Nathan A Wloch PA has the Individual type.

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1356546949 NPI number is provided on an as is basis without warranty of any kind. 1356546949 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan A Wloch PA are for informational purposes only.