Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN M WAGNER, D.O.
Active Sole ProprietorKRISTEN M WAGNER, D.O. is a Family Medicine healthcare provider located in FRUITPORT, Michigan. NPI 1598017048 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FRUITPORT, MI
Registration Details
- NPI Number
- 1598017048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2012 (13.665257067973 yrs)
- Last Updated
- Dec 23, 2020
- Licenses
-
5101020125 (MI)5101020125 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3443 FARR RDFRUITPORT, MI, 494158779Browse MI providers · Browse ZIP 49415
- Phone
- 2316722900
- Fax
- 2316722901
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Family Medicine Providers in FRUITPORT, MI
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID LEON DORA | D.O. | 1629079686 |
| CHAD UPTIGROVE | DO | 1851378657 |
| DR. KRISTEN KAY WOODS | MD | 1093792855 |
| ANTHONY V IZOKAITIS | DO | 1699752477 |
| DARRELL S ROELANDT | DO | 1326028028 |
| CAITLIN E FULTON | D.O. | 1093120594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.