Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICIA MARIE WAGANFEALD, PTA
ActiveALICIA MARIE WAGANFEALD, PTA is a Sports Medicine (PM&R) healthcare provider located in BALDWIN, Michigan. NPI 1902646698 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BALDWIN, MI
Registration Details
- NPI Number
- 1902646698
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2024 (2.2516376273639 yrs)
- Last Updated
- Jun 4, 2024
- License
-
5502008588 (MI)
Practice Information
- Address
-
600 DENMARK STBALDWIN, MI, 493047500Browse MI providers · Browse ZIP 49304
- Phone
- 2317454648
- Fax
- 2317453724
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.