Provider Demographics
NPI:1427414770
Name:ABSENGER, WERNER (PHD, MSC)
Entity type:Individual
Prefix:DR
First Name:WERNER
Middle Name:
Last Name:ABSENGER
Suffix:
Gender:M
Credentials:PHD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17212 VAN WAGONER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-9702
Mailing Address - Country:US
Mailing Address - Phone:616-607-7360
Mailing Address - Fax:
Practice Address - Street 1:17212 VAN WAGONER RD
Practice Address - Street 2:SUITE A
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-9702
Practice Address - Country:US
Practice Address - Phone:616-607-7360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-01
Last Update Date:2016-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No133N00000XDietary & Nutritional Service ProvidersNutritionist