Dianne Polakoff Wagner
ActiveMichigan license 4301045093
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301045093
- Status
- Active
- First issued
- July 16, 1982
- Expires
- July 16, 2028
- License holder
- Dianne Polakoff Wagner
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons
Contact
524 North Shore Drive
524 North Shore Drive 524 North Shore Drive
South Haven, MI 49090
524 North Shore Drive 524 North Shore Drive
South Haven, MI 49090
Van Buren County