MICHELLE WAGNER

BISMARCK, ND
NPI1396123485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ND  773)
Enumeration Date2015-05-11
Last Update Date2015-05-13
Business Address
-- MICHELLE WAGNER RD,LRD
900 E BROADWAY AVE
BISMARCK, ND 58501-4520
Phone number: 701-530-7000
Mailing Address
-- MICHELLE WAGNER RD,LRD
PO BOX 5510
BISMARCK, ND 58506-5510
Phone number: 701-530-7000
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