Drew Wagner

NPI #1568022838 in Middleville, Michigan

Provider Information

NPI Number: 1568022838
Entity Type: Individual
Name: Drew Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 18, 2019
Last Updated: Jun 18, 2019

Practice Location

Address: 4624 N M 37 HWY STE A
City: Middleville
State: Michigan
ZIP Code: 49333-8163
Phone: (269) 795-4230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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