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Jordan Wagner, PA
NPI 1831383074 · on the registry since 2007
Practice
- Address
- 2002 S 11th St
Niles, MI 49120 - Phone
- (269) 687-0200
- Fax
- (269) 684-0199
- Organisation at this address
- Lakeland Medical Practices
Southwestern Medical Clinic Pc
Lakeland Community Hospital WatervlietInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-03-14
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