JUSTIN WAGNER

EAST LANSING, MI
NPI1356608004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  510101797)
Enumeration Date2012-04-19
Last Update Date2021-05-24
Business Address
JUSTIN WAGNER
804 SERVICE RD ROOM D100
EAST LANSING, MI 48824-7015
Phone number: 517-355-5053
Mailing Address
JUSTIN WAGNER
804 SERVICE RD ROOM D100
EAST LANSING, MI 48824-7015
Phone number:
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