Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Wagner

Individual provider Case Manager/Care Coordinator · NPI 1265308852

Jacob Wagner is a Case Manager/Care Coordinator in Clinton Township, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

15600 19 Mile Rd
Clinton Township, MI 48038-3502
Phone: (586) 263-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (MI)

Record details

NPI number1265308852
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address15600 19 Mile Rd, Clinton Township, MI 48038-3502

Other providers in Clinton Township