Individual
MS. JEANNIE CHIEN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1055 W BARAGA AVE, SUITE D, MARQUETTE, MI 49855-4068
(906) 226-0143
(906) 226-0152
Mailing address
1055 W BARAGA AVE, SUITE D, MARQUETTE, MI 49855-4068
(906) 226-0143
(906) 226-0152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004592
MI
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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