Wren, Michael J

Wren, Michael J is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721-1324. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wren, Michael J can be contacted via phone (559) 459-4268.

Contact Information

Primary practice address
2823 Fresno St Fresno CA 93721-1324
Phone: (559) 459-4268
Fax: (559) 459-3553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17765 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA17765 California

Profile Details

NPI number 1275689192
LBN Legal business name Wren, Michael J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Dec 30th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275689192 NPPES
California Other OPA177650 BLUE SHIELD OF CALIFORNIA

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