Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
F JOHN WAGNER
Active OrganizationF JOHN WAGNER is a Dental Clinic organization located in LAKE, Michigan. NPI 1568522910 is currently active in the NPPES registry. Verify at CMS.
Dental Clinic · LAKE, MI
Registration Details
- NPI Number
- 1568522910
- Provider Type
- Organization
- NPI Issued
- Dec 8, 2006 (19.696593485134 yrs)
- Last Updated
- Aug 22, 2020
- License
-
10266 (MI)
Practice Information
- Address
-
7791 MYSTIC LAKE DRLAKE, MI, 486329743Browse MI providers · Browse ZIP 48632
- Phone
- 9895442096
- Primary Specialty
-
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.