Laura Wagner, MS, RD

NPI #1962254888 in Pontiac, Michigan

Provider Information

NPI Number: 1962254888
Entity Type: Individual
Name: Laura Wagner, MS, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RD
Enumeration Date: Apr 3, 2024
Last Updated: Apr 8, 2024

Practice Location

Address: 44555 WOODWARD AVE STE 105
City: Pontiac
State: Michigan
ZIP Code: 48341-5032
Phone: (248) 885-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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