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Search › Michigan › 174H00000X

Evan Wagner, BS

NPI 1518478775 · on the registry since 2017

Practice

Address
3111 Electric Ave
Port Huron, MI 48060
Phone
(810) 985-8900
Organisation at this address
Genoa Healthcare Llc
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority - Sud Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
414

Additional practice sites

  • 135 Broadway St, Marine City, MI

Registry record

Primary taxonomy
174H00000X
174H00000X
Sex
Male
Record last updated
2018-03-17

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