Heather N Wagner, PA-C

NPI #1902493844 in Allen Park, Michigan

Provider Information

NPI Number: 1902493844
Entity Type: Individual
Name: Heather N Wagner, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 27, 2020
Last Updated: Dec 11, 2024

Practice Location

Address: 8020 WINONA AVE
City: Allen Park
State: Michigan
ZIP Code: 48101-2228
Phone: (313) 806-6585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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