Sanford E Wagenberg MD

NPI 1780602136 - Radiology - 2085R0202X

NPI Details
NPI 1780602136
Gender Male
Enumeration Date 07/17/2006
Last Updated 12/21/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
11800 E TWELVE MILE ROAD
WARREN MI, 48093, US
Phone (586) 573-5060
Fax (586) 573-5197
Business Location
11800 E TWELVE MILE ROAD
WARREN MI, 48093, US
Phone (586) 573-5060
Fax (586) 573-5197
Toxanomy
Taxonomy Code 2085R0202X
License State Michigan
License Number 043784
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According to our database, Sanford E Wagenberg MD NPI is 1780602136, taxonomy code is 2085R0202X and license number is 043784, license state is located at Michigan. Sanford E Wagenberg MD physically located at 11800 E Twelve Mile Road, Warren MI, 48093. NPI Number Sanford E Wagenberg MD has the Individual type.

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1780602136 NPI number is provided on an as is basis without warranty of any kind. 1780602136 is maintained by the National Plan & Provider Enumeration System. The contents of Sanford E Wagenberg MD are for informational purposes only.