Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brianne C Waggoner DO PC

Organization Emergency Medicine Physician · NPI 1083059562

Brianne C Waggoner DO PC is an Emergency Medicine Physician in Mount Clemens, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (586) 493-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101017372 (MI)

Record details

NPI number1083059562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianne Waggoner — Owner · (517) 927-9287
NPI enumeratedMay 9, 2013
Last updated in NPPESMay 9, 2013
Mailing address9301 S Western Ave, Oklahoma City, OK 73139-2767

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