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NPI Code Detail

MEDICARE: MR. BRIAN J WATSON PAC

MEDICARE: MR. BRIAN J WATSON PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant5601003921MI

General Provider Information

NPI Number : 1386630598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN J WATSON PAC
Provider Business Mailing Address
First Line : 1500 WEISS ST
Second Line :
City : SAGINAW
State : MI
Zip : 48602-5251
Country : US
Telephone Number : 989-497-2500
Fax Number :
Provider Business Practice Location Address
First Line : 1500 WEISS ST
Second Line :
City : SAGINAW
State : MI
Zip : 48602-5251
Country : US
Telephone Number : 989-497-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 01/13/2026

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Directions to “ MR. BRIAN J WATSON PAC” Practice Location

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