Marcus Wollak
NPI #1417572827 in South Haven, Michigan
Provider Information
- NPI Number
- 1417572827
- Entity Type
- Individual
- Name
- Marcus Wollak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 11, 2020
- Last Updated
- Oct 27, 2021
Practice Location
- Address
- 930 BLUE STAR HWY
- City
- South Haven
- State
- Michigan
- ZIP Code
- 49090-7758
- Phone
- (269) 637-1115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Student in an Organized Health Care Education/Training Program |
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