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1689006181
MICHELLE LYNN WAGNER
DETROIT, MI
NPI
1689006181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OH NP14886)
Enumeration Date
2013-08-07
Last Update Date
2023-11-03
Business Address
MICHELLE LYNN WAGNER CNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-5071
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Mailing Address
MICHELLE LYNN WAGNER CNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 419-291-4000
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