LIANNE ROSE WAGNER

DETROIT, MI
NPI1871237602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-27
Last Update Date2022-06-13
Business Address
LIANNE ROSE WAGNER DO
22101 MOROSS RD STE 214
DETROIT, MI 48236-2148
Phone number: 313-343-7110
Mailing Address
LIANNE ROSE WAGNER DO
22101 MOROSS RD STE 214
DETROIT, MI 48236-2148
Phone number: 586-576-4345