Individual
SALEM MICHELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(785) 392-7620
(316) 300-4040
Mailing address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(785) 392-7620
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-83024-122
KS
Other
Enumeration date
02/27/2012
Last updated
06/26/2025
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