Brianne C Waggoner Do Pc

NPI 1083059562 - Emergency Medicine - 207P00000X

NPI Details
NPI 1083059562
Enumeration Date 05/09/2013
Last Updated 05/09/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRIANNE C BRIANNE
Position OWNER
Phone (586) 493-8000
Fax
Practice Location
1000 HARRINGTON ST
MOUNT CLEMENS MI, 48043-2920, US
Phone (586) 493-8000
Fax
Business Location
9301 S WESTERN AVE
OKLAHOMA CITY OK, 73139-2767, US
Phone (866) 321-8433
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Michigan
License Number 5101017372
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According to our database, Brianne C Waggoner Do Pc NPI is 1083059562, taxonomy code is 207P00000X and license number is 5101017372, license state is located at Michigan. Brianne C Waggoner Do Pc physically located at 1000 Harrington St, Mount Clemens MI, 48043-2920. NPI Number 1033115704 has the healthcare provider type.

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1083059562 NPI number is provided on an as is basis without warranty of any kind. 1083059562 is maintained by the National Plan & Provider Enumeration System. The contents of Brianne C Waggoner Do Pc are for informational purposes only.