Individual provider · Type 1 NPI

Catherine Michelle Wagner, MD

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1477117463 Active

Practice location

1500 E Medical Center Drive, Spc 5856, Fcvc 3rd Floor, Reception C
Ann Arbor, MI 48109-5856

Call (734) 647-7321 Map

Fax (734) 362-5236

Mailing address

1500 E Medical Center Drive, 5344 Cvc
Ann Arbor, MI 48109-5864

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351044093 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477117463

Catherine Michelle Wagner, MD's National Provider Identifier is 1477117463, issued on Apr 25, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 22, 2019.