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1790827053
KATHRYN A WAGNER
ANN ARBOR, MI
NPI
1790827053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003769)
Enumeration Date
2007-02-13
Last Update Date
2012-09-17
Business Address
-- KATHRYN A WAGNER PA
1500 EAST MEDICAL CENTER DR 3RD CARDIOVASCULAR CENTER RECP C
ANN ARBOR, MI 48109-5864
Phone number: 888-287-1082
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Mailing Address
-- KATHRYN A WAGNER PA
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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