Jordan M Wagner, PA
Jordan M Wagner, PA is a Physician Assistant in Niles, Michigan. Qualified in 2007, 19 years ago. Practices with Lakeland Community Hospital Watervliet, a 65-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 19
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2002 S 11th StNiles, MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 5601005116 (MI) |
|---|
Record details
| NPI number | 1831383074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | August 30, 2007 |
| Last updated in NPPES | March 14, 2013 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Lakeland Community Hospital Watervliet — 65 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Niles
-
Dr. Ellen Tambunan, MD
4 Longmeadow Village Dr, Niles, MI 49120-7809 · (269) 684-6000
-
Raul Hector Torres III, DO
4 Longmeadow Village Dr, Niles, MI 49120-7809 · (269) 684-6000
-
Tracy J Tacket DO PLLC
24 N Saint Joseph Ave Ste G, Niles, MI 49120-2263 · (269) 684-5002
-
Dr. Shannon Keith Twiddy, MD
2002 S 11th St, Niles, MI 49120-4074 · (269) 687-0200
-
John Mourad Zakhary, MD
1951 Oak St, Niles, MI 49120-3738 · (269) 262-4749