Individual provider · Type 1 NPI

Michelle I. Cervin -Wagner, DO

Family Medicine Physician · South Bend, IN

NPI number 1891711362 Active

Practice location

320 S Dr Martin Luther King Jr Blvd Ste 300
South Bend, IN 46601-2358

Call (574) 406-6376 Map

Fax (574) 406-6377

Mailing address

14504 Douglas Rd
Mishawaka, IN 46545-1709

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X5101011099 (MI)
Family Medicine Physician Primary 207Q00000X02001685 (IN)

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 1891711362

Michelle I. Cervin -Wagner, DO's National Provider Identifier is 1891711362, issued on Jul 15, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Bend, IN. The record was last updated on Feb 24, 2025.