Doctor Name: | MR. WENDELL L. DIGGS |
NPI Number: | 1033157433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | WD001629 |
Business Practice Address: | 363 Fremont St Ste 203 Battle Creek, MI - 490173336 |
Business Phone Number: | 2699696123 |
Business Fax Number: | 2699696122 |
Mailing Address: | 363 Fremont St, Ste 203 BATTLE CREEK |
State: | MI |
Postal Code: | 490173336 |
Phone Number: | 2699696123 |
Fax Number: | 2699696122 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 05/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | WD001629 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |