Individual
TERESA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 E COLUMBIA AVE., SUITE 115, BATTLE CREEK, MI 49015
(269) 962-5383
(269) 962-4229
Mailing address
131 E COLUMBIA AVE., SUITE 115, BATTLE CREEK, MI 49015
(269) 962-5383
(269) 962-4229
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703086736
MI
Other
Enumeration date
08/17/2015
Last updated
11/19/2024
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