Individual
MEGAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503
(810) 257-3705
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704306706
MI
Other
Enumeration date
06/21/2018
Last updated
01/14/2019
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