Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN M WAGNER, PA
ActiveJORDAN M WAGNER, PA is a Family Medicine healthcare provider located in NILES, Michigan. NPI 1831383074 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NILES, MI
Registration Details
- NPI Number
- 1831383074
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2007 (18.961895452849 yrs)
- Last Updated
- Mar 14, 2013
- License
-
5601005116 (MI)
Practice Information
- Address
-
2002 S 11TH STNILES, MI, 491204074Browse MI providers · Browse ZIP 49120
- Phone
- 2696870200
- Fax
- 2696840199
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in NILES, MI
| Name | Credential | NPI |
|---|---|---|
| GLENDA M GENSOLIN | MD | 1033195748 |
| DR. ELLEN TAMBUNAN | M.D. | 1235102823 |
| DR. DANIEL M METZGER | MD | 1265478192 |
| DR. BRAD S FERRARI | MD | 1518995828 |
| DR. DANIEL R JONES | MD | 1457389264 |
| DR. CHARLES H RHODES | M.D. | 1679582001 |
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.