MICHELLE LYNN WAGNER

DETROIT, MI
NPI1689006181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OH  NP14886)
Enumeration Date2013-08-07
Last Update Date2023-11-03
Business Address
MICHELLE LYNN WAGNER CNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-5071
Mailing Address
MICHELLE LYNN WAGNER CNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 419-291-4000