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James Wagner
NPI 1568965234 · on the registry since 2018 · sole proprietor
Practice
- Address
- 316 Madison St
Niles, MI 49120 - Phone
- (269) 921-0572
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-08
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