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Contact Information

TERESA WAGNER
131 E COLUMBIA AVE.
SUITE 115
BATTLE CREEK, MI49015
 Phone: 269-962-5383
 Fax: 269-962-4229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for TERESA WAGNER · (Female)

NPI Number 1306212022
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2015
Last updated 11/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4703086736
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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