Jared Wagner, MD
Jared Wagner, MD is a Diagnostic Radiology Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.
- Licensed in
- MI
- In the registry since
- 2021
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 Michigan St NE Ste A601Grand Rapids, MI 49503-2560
Phone: (616) 391-3245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 4351048222 (MI) |
|---|
Record details
| NPI number | 1679154090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 16, 2021 |
| Last updated in NPPES | June 22, 2025 |
| Certification date | June 22, 2025 |
| Mailing address | 100 Michigan St Ne Ste A601, Grand Rapids, MI 49503-2560 |
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