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1821051822
LISA WAGNER FORREST
KALAMAZOO, MI
NPI
1821051822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301057603)
Enumeration Date
2006-04-10
Last Update Date
2009-04-14
Business Address
Dr. LISA WAGNER FORREST MD
1850 WHITES RD
KALAMAZOO, MI 49008-4801
Phone number: 269-343-3900
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Mailing Address
Dr. LISA WAGNER FORREST MD
2752 CLOYSTER CT
KALAMAZOO, MI 49008-2339
Phone number: 269-492-0240
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