Jordan Michelle Wagner
ActiveMichigan license 5601005116
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601005116
- Status
- Active
- First issued
- September 10, 2007
- Expires
- September 10, 2029
- License holder
- Jordan Michelle Wagner
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
Corewell Health Watervliet Hospital Southwestern Medical Primary Care & Peds Niles
2002 S 11th St
Niles, MI 49120
2002 S 11th St
Niles, MI 49120
Berrien County