Search › Michigan › 363LF0000X
Paul Wagner
NPI 1043919996 · on the registry since 2023
Practice
- Address
- 515 W Lynthur Ln
Sanford, MI 48657 - Phone
- (989) 488-7835
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan