Individual
DEBORAH C WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-4380
Mailing address
1560 E. MAPLE RD., SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 581-5970
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704118834
MI
Other
Enumeration date
06/07/2006
Last updated
12/08/2015
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