LISA WAGNER

BRIGHTON, MI
NPI1811293475
Entity TypeOrganization
Authorized ContactLISA WAGNER
Audiologist
517-336-1940
Organization Subpart ?No
Primary Taxonomy231H00000X Audiologist
(Licence: MI  1601000283)
Enumeration Date2011-01-31
Last Update Date2011-01-31
Business Address
LISA WAGNER
455 E GRAND RIVER AVE SUITE 204
BRIGHTON, MI 48116-1551
Phone number: 810-494-1700
Mailing Address
LISA WAGNER
4970 NORTHWIND DR SUITE 226
EAST LANSING, MI 48823-5080
Phone number: 517-336-1940
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