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

Michelle I Cervin -Wagner, DO

Individual provider Family Medicine Physician · NPI 1891711362

Michelle I Cervin -Wagner, DO is a Family Medicine Physician in South Bend, Indiana. Licensed in Indiana and Michigan. Registered with an NPI since 2006.

Licensed in
IN, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

320 S Dr Martin Luther King Jr Blvd Ste 300
South Bend, IN 46601-2358
Phone: (574) 406-6376
Fax: (574) 406-6377
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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 02001685 (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101011099 (MI)

Record details

NPI number1891711362
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address14504 Douglas Rd, Mishawaka, IN 46545-1709

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