NATHAN VINCENT WAGSTAFF

DETROIT, MI
NPI1669429825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MI  430108011)
Enumeration Date2006-05-30
Last Update Date2007-07-19
Business Address
-- NATHAN VINCENT WAGSTAFF MD
22151 MOROSS RD 313
DETROIT, MI 48236-2167
Phone number: 313-343-3494
Mailing Address
-- NATHAN VINCENT WAGSTAFF MD
43800 GARFIELD RD
CLINTON TWP, MI 48038-1136
Phone number: 800-848-0202
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