Kelly Wagenheim

NPI 1831540665 · on the registry since 2016 · sole proprietor

Practice

Address: 21400 Perry Ave
Big Rapids, MI 49307
Phone: (231) 796-3691
Fax: (231) 796-8722
Organisation at this address: Wal-Mart Stores East Lp
Anthony A Wecker Od Pllc
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Pharmacist
183500000X
Also registered as: Pharmacist
Licence states on file: MI, FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-06-22

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