BRIANNE C WAGGONER DO PC
NPI 1083059562
Emergency Medicine in Mount Clemens, MI

Q: What is Brianne C Waggoner Do PC's NPI number?

The NPI number for Brianne C Waggoner Do PC is 1083059562. It was assigned to this organization in the NPPES registry on May 9, 2013.

Q: What is Brianne C Waggoner Do PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 09, 2013

1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brianne C Waggoner Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIANNE C WAGGONER DO PC (NPI 1083059562) is a healthcare organization registered as an emergency medicine in Mount Clemens, Michigan and active in the NPI registry since May 2013. The organization lists Brianne C Waggoner, Owner, as its authorized official.

NPPES Registry Identity

NPI1083059562

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameBRIANNE C WAGGONER DO PC

Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920

Mailing Address9301 S Western AveOklahoma City, OK 73139-2767 · (866) 321-8433

Phone(586) 493-8000

Organization SubpartNo

Authorized OfficialBrianne C WaggonerOwner · (517) 927-9287

Enumeration DateMay 9, 2013

✔ NPI 1083059562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101017372

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 HARRINGTON ST, Mount Clemens, MI 48043

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEMAR GARDEZI MD

Student in an Organized Health Care Education/Training Program