MICHAEL WAGNER

Adult Care Home Facility

NPI: 1336655034Individual

Specialties, Licenses & Credentials

Adult Care Home FacilityPrimary

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

AF410387497(MI)

Contact & Hours

Address: 807 PINE AVE NW
GRAND RAPIDS, MI 49504
Phone: (616) 776-7094

Location

Practice Location

807 PINE AVE NW, GRAND RAPIDS, MI

Quick Facts

NPI: 1336655034
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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