VITAS WAGNER

GRAND RAPIDS, MI
NPI1982115358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-10-12
Last Update Date2024-04-15
Business Address
VITAS WAGNER MD
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7100
Mailing Address
VITAS WAGNER MD
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7100
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