Search › Michigan › 111N00000X
Deadra Wagner, D.C
NPI 1538290234 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1459 Miami Rd
Benton Harbor, MI 49022 - Phone
- (269) 208-7031
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-20
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