CHRISTIAN PAUL WAGNER

PRUDENVILLE, MI
NPI1174316509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-05-28
Last Update Date2025-05-28
Business Address
CHRISTIAN PAUL WAGNER
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651-9613
Phone number: 734-460-3720
Mailing Address
CHRISTIAN PAUL WAGNER
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651-9613
Phone number: 734-460-3720