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Wayne Wagner
NPI 1437712700 · on the registry since 2019 · sole proprietor
Practice
- Address
- 400 S Crapo St
Mount Pleasant, MI 48858 - Phone
- (989) 773-5918
- Fax
- (989) 772-0248
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Also registered as
- 224Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-11
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