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1396737086
JOHN R WAGNER
WARREN, MI
NPI
1396737086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: MI 4301061192)
Enumeration Date
2005-08-18
Last Update Date
2010-11-29
Business Address
-- JOHN R WAGNER M.D.
11012 E 13 MILE RD SUITE 112
WARREN, MI 48093-2572
Phone number: 586-573-6880
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Mailing Address
-- JOHN R WAGNER M.D.
29900 LORRAINE AVE SUITE 400
WARREN, MI 48093-5266
Phone number: 586-582-0864
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