Individual
DR. JOLYN WELSH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
999 HAYNES ST, SUITE 280, BIRMINGHAM, MI 48009-6712
(248) 258-9085
Mailing address
999 HAYNES ST, SUITE 280, BIRMINGHAM, MI 48009-6712
(248) 258-9085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301050048
MI
Other
Enumeration date
08/06/2007
Last updated
10/26/2008
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