Christian Paul Wagner
NPI #1174316509 in Prudenville, Michigan
Provider Information
- NPI Number
- 1174316509
- Entity Type
- Individual
- Name
- Christian Paul Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 28, 2025
- Last Updated
- May 28, 2025
Practice Location
- Address
- 1070 W HOUGHTON LAKE DR
- City
- Prudenville
- State
- Michigan
- ZIP Code
- 48651-9613
- Phone
- (734) 460-3720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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