Individual
DR. KELLY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
3360 TITTABAWASSEE RD, SAGINAW, MI 48604-9453
(989) 249-6033
Mailing address
4094 W CROSSINGS, SAGINAW, MI 48603-8710
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302037176
MI
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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