Individual provider · Type 1 NPI

Jordan M. Wagner, PA

Family Medicine Physician · Niles, MI

NPI number 1831383074 Active

Practice location

2002 S 11th St
Niles, MI 49120-4074

Call (269) 687-0200 Map

Fax (269) 684-0199

Mailing address

6416 Deans Hill Rd
Berrien Center, MI 49102-9750

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X5601005116 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1831383074

Jordan M. Wagner, PA's National Provider Identifier is 1831383074, issued on Aug 30, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Niles, MI. The record was last updated on Mar 14, 2013.