Mr. Jacob Norman Wagner
Mr. Jacob Norman Wagner is an Other Technician in Redford, Michigan. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
17293 Delaware AveRedford, MI 48240-2302
Phone: (313) 948-7199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1194176784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2016 |
| Last updated in NPPES | June 25, 2016 |
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