Organization
MICHAEL A WAGNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAGNER DO (OWNER)
(586) 469-8300
Entity
Organization
Contact information
Practice address
21620 HARRINGTON ST, CLINTON TWP, MI 48036-2319
(586) 469-8300
(586) 469-1372
Mailing address
21620 HARRINGTON ST, CLINTON TWP, MI 48036-2319
(586) 469-8300
(586) 469-1372
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101018806
MI
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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