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1669429825
NATHAN VINCENT WAGSTAFF
DETROIT, MI
NPI
1669429825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 430108011)
Enumeration Date
2006-05-30
Last Update Date
2007-07-19
Business Address
-- NATHAN VINCENT WAGSTAFF MD
22151 MOROSS RD 313
DETROIT, MI 48236-2167
Phone number: 313-343-3494
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Mailing Address
-- NATHAN VINCENT WAGSTAFF MD
43800 GARFIELD RD
CLINTON TWP, MI 48038-1136
Phone number: 800-848-0202
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