Organization
JOLYN WELSH WAGNER MD PC
Active
Organization
JOLYN WELSH WAGNER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLYN WELSH WAGNER M.D. (PRESIDENT)
(248) 258-9085
Entity
Organization
Contact information
Practice address
999 HAYNES ST, SUITE 280, BIRMINGHAM, MI 48009-6712
(248) 258-9085
Mailing address
999 HAYNES ST, SUITE 280, BIRMINGHAM, MI 48009-6712
(248) 258-9085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
430105004
MI
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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