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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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