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Marcie Wagner
NPI 1710282611 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4780 Orchard Ridge Dr
Troy, MI 48098 - Phone
- (248) 379-4678
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-24
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