JACOB NORMAN WAGNER

REDFORD, MI
NPI1194176784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2016-06-25
Last Update Date2016-06-25
Business Address
Mr. JACOB NORMAN WAGNER
17293 DELAWARE AVE
REDFORD, MI 48240-2302
Phone number: 313-948-7199
Mailing Address
Mr. JACOB NORMAN WAGNER
17293 DELAWARE AVE
REDFORD, MI 48240-2302
Phone number: 313-948-7199