Individual
DR. MICHAEL ANTHONY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
38525 HILLDALE ST, CLINTON TOWNSHIP, MI 48036-2564
(586) 469-8300
(586) 496-8115
Mailing address
38525 HILLDALE ST, CLINTON TOWNSHIP, MI 48036-2564
(248) 635-6104
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101018806
MI
Other
Enumeration date
06/30/2010
Last updated
10/25/2025
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