Alexis Nicole Wackerle

NPI #1043881204 in Bay City, Michigan

Provider Information

NPI Number: 1043881204
Entity Type: Individual
Name: Alexis Nicole Wackerle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Jul 8, 2021
Last Updated: Jul 8, 2021

Practice Location

Address: 7110 MICHIGAN RD
City: Bay City
State: Michigan
ZIP Code: 48706-9310
Phone: (989) 714-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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