Individual
DR. NOEL DAVID WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 COOPER AVE, SAGINAW, MI 48602-5182
(989) 583-6521
(989) 583-4134
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2833
(989) 583-1440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301093040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162798602
—
TX
05
—
1952374597
—
MI
Enumeration date
02/13/2006
Last updated
08/27/2014
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