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NPI Code Detail

MEDICARE: MR. WILLIAM WRIGLEY AG-ACNP

MEDICARE: MR. WILLIAM WRIGLEY AG-ACNP
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
12084A2900XNeurocritical Care Physician0024190190VA
2363L00000XNurse Practitioner82799NM
3363LA2100XAcute Care Nurse Practitioner0024190190VA
4363L00000XNurse Practitioner4704357915MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841740313
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM WRIGLEY AG-ACNP
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD STE 3D
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44201 DEQUINDRE RD
Second Line :
City : TROY
State : MI
Zip : 48085-1117
Country : US
Telephone Number : 248-964-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2016
Last Update Date : 03/10/2026

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