JAMES WAGNER

NILES, MI
NPI1568965234
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502004181)
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
JAMES WAGNER
316 MADISON ST
NILES, MI 49120-3128
Phone number: 269-921-0572
Mailing Address
JAMES WAGNER
316 MADISON ST
NILES, MI 49120-3128
Phone number: 269-921-0572