Individual
CATHERINE MICHELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C, ANN ARBOR, MI 48109-5856
(734) 647-7321
(734) 362-5236
Mailing address
1500 E MEDICAL CENTER DRIVE, 5344 CVC, ANN ARBOR, MI 48109-5864
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351044093
MI
Other
Enumeration date
04/25/2019
Last updated
10/22/2019
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