Individual
MRS. KAREN M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CPNP
Contact information
Practice address
5024 N ROYAL DRIVE, TRAVERSE CITY, MI 49684
(231) 935-0555
(231) 935-0562
Mailing address
5024 N ROYAL DR, TRAVERSE CITY, MI 49684-9230
(231) 935-0555
(231) 935-0562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704166418
MI
Other
Enumeration date
10/04/2006
Last updated
04/05/2013
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