MICHELLE I CERVIN -WAGNER

SOUTH BEND, IN
NPI1891711362
Other NameMICHELLE I CERVIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001685)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MI  5101011099)
Enumeration Date2006-07-15
Last Update Date2025-02-24
Business Address
MICHELLE I CERVIN -WAGNER DO
320 S DR MARTIN LUTHER KING JR BLVD STE 300
SOUTH BEND, IN 46601-2358
Phone number: 574-406-6376
Mailing Address
MICHELLE I CERVIN -WAGNER DO
14504 DOUGLAS RD
MISHAWAKA, IN 46545-1709
Phone number: 574-344-0479