Ruth Wagner

NPI #1518365709 in Walker, Michigan

Provider Information

NPI Number: 1518365709
Entity Type: Individual
Name: Ruth Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Dec 20, 2014
Last Updated: Dec 20, 2014

Practice Location

Address: 918 KINGS ROW DR NW
City: Walker
State: Michigan
ZIP Code: 49534-3499
Phone: (616) 791-9632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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