Cervin -Wagner, Michelle I
Cervin -Wagner, Michelle I is an individual health care provider with primary practice located at 601 E Chicago Rd , White Pigeon MI 49099-9731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cervin -Wagner, Michelle I can be contacted via phone (269) 483-7624.Contact Information
Primary practice address
601 E Chicago Rd
White Pigeon MI 49099-9731
Phone: (269) 483-7624
Fax: (269) 483-7905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101011099 | Michigan |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02001685 | Indiana |
Profile Details
NPI number | 1891711362 |
---|---|
LBN Legal business name | Cervin -Wagner, Michelle I |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2006 |
Last updated | Jan 4th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891711362 | NPPES |
Michigan | MEDICAID | 1891711362 |
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