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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE I CERVIN -WAGNER, DO

Active

MICHELLE I CERVIN -WAGNER, DO is a Family Medicine healthcare provider located in SOUTH BEND, Indiana. NPI 1891711362 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTH BEND, IN

Registration Details

NPI Number
1891711362
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2006 (20.07654067063 yrs)
Last Updated
Feb 24, 2025
Licenses
5101011099 (MI)
02001685 (IN)

Practice Information

Address
320 S DR MARTIN LUTHER KING JR BLVD STE 300
SOUTH BEND, IN, 466012358
Browse IN providers · Browse ZIP 46601
Phone
5744066376
Fax
5744066377
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SOUTH BEND, IN

Name Credential NPI
DR. LORI L. CHECKLEY M.D. 1437152394
DR. ROBERT DM LEE M.D. 1225031925
DALE ALAN PATTERSON M.D. 1033115852
DR. MICHELLE ANN MIGLIORE DO 1356349815
DR. PATRICIA ANN JORDAN MD 1700884897
DR. STEPHEN D KENNEDY D.O. 1700885498
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.