Kristen M Wagner, D.O.

NPI #1598017048 in Fruitport, Michigan

Provider Information

NPI Number: 1598017048
Entity Type: Individual
Name: Kristen M Wagner, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Oct 9, 2012
Last Updated: Dec 23, 2020

Practice Location

Address: 3443 FARR RD
City: Fruitport
State: Michigan
ZIP Code: 49415-8779
Phone: (231) 672-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Obstetrics & Gynecology	207V00000X

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