Dr. Christopher Charles Wagner, DO
Family Medicine in Shelby, MI. Individual provider (NPI-1).
NPI number1982134482
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1982134482
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christopher Charles Wagner
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2017
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101025520 | MI | Yes |
Practice location
71 Bevier StShelby, MI 49455-1209
Phone 231-861-2187 · Fax 231-861-5100
Mailing address
Po Box 1848Muskegon, MI 49443-1848
Phone 231-672-2119
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