Matthew Waggoner in Ann Arbor - Physician Assistant
Matthew Waggoner - NPI 1710991732
Matthew Waggoner is a Physician Assistant in Ann Arbor, Michigan. Matthew Waggoner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew Waggoner is 1710991732. The last update date is 2022-03-18.
Matthew Waggoner's current location address is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7349366000. The mailing address for Matthew Waggoner is 1500 E Medical Center Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Waggoner |
|---|---|
| Address | 1500 E Medical Center Dr, Ann Arbor, Michigan |
| Phone Number | 7349366000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1710991732 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2022-03-18 |
Provider Mailing Address Detail
| Address | 1500 E Medical Center Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481090916 |
| Phone Number | 7349366000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4369 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Matthew Waggoner's unique identification number?
The Matthew Waggoner has been assigned the NPI (National Provider Identifier) Number 1710991732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Matthew Waggoner is located?
The Matthew Waggoner is situated at the following address: 1500 E Medical Center Dr, Ann Arbor, MI, 481090916.
What is the Matthew Waggoner's area of specialization and corresponding taxonomy classification?
The Matthew Waggoner's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1710991732 to Matthew Waggoner?
The Centers for Medicare & Medicaid Services assigned the 1710991732 to Matthew Waggoner on 2006-07-27.
As of what date were the details related to Matthew Waggoner most recently updated or revised?
The information pertaining to Matthew Waggoner, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-18.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC