Individual
DR. STEPHANIE MICHELLE WAGGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7122 HAWICK CT NE, BELMONT, MI 49306-9688
(616) 481-0075
Mailing address
1055 HASPER DR, ANN ARBOR, MI 48103-3420
(616) 481-0075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021861
MI
Other
Enumeration date
06/03/2016
Last updated
12/14/2016
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