MR. Mark B. Wagner, CRNA
NPI #1164732053 in Grosse Pointe, Michigan
Provider Information
- NPI Number
- 1164732053
- Entity Type
- Individual
- Name
- MR. Mark B. Wagner, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 14, 2010
- Last Updated
- Oct 14, 2010
Practice Location
- Address
- 468 CADIEUX RD
- City
- Grosse Pointe
- State
- Michigan
- ZIP Code
- 48230-1507
- Phone
- (248) 577-3520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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