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1093154122
KIMBERLY WAGNER
SAGINAW, MI
NPI
1093154122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101020682)
Enumeration Date
2013-06-21
Last Update Date
2016-08-01
Business Address
-- KIMBERLY WAGNER DO
2970 PIERCE RD SUITE 2
SAGINAW, MI 48604-8810
Phone number: 989-583-0295
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Mailing Address
-- KIMBERLY WAGNER DO
1447 N HARRISON ST
SAGINAW, MI 48602-4727
Phone number: 989-583-6000
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