ANDREA WAGNER

FENTON, MI
NPI1972036960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704226341)
Enumeration Date2017-04-06
Last Update Date2018-08-07
Business Address
-- ANDREA WAGNER NP
445 N FENWAY DR
FENTON, MI 48430-2666
Phone number: 810-750-6060
Mailing Address
-- ANDREA WAGNER NP
445 N FENWAY DR
FENTON, MI 48430-2666
Phone number: 810-750-6060