Wangerin, Michael Keith

Wangerin, Michael Keith is an individual health care provider with primary practice located at 16250 Audubon Village Dr , Wildwood MO 63040-1708. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wangerin, Michael Keith can be contacted via phone (636) 489-9185.

Contact Information

Primary practice address
16250 Audubon Village Dr Wildwood MO 63040-1708
Phone: (636) 489-9185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1710447875
LBN Legal business name Wangerin, Michael Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2019
Last updated Mar 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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