F JOHN WAGNER is a dental clinic center in Lake, MI. F JOHN WAGNER NPI is 1568522910. The provider is registered as an organization entity type.
The provider's business location address is:
7791 MYSTIC LAKE DR LAKE, MI ZIP 48632-743 Phone: (989) 544-2096
The provider's authorized official is Frederic John Wagner . The authorized official title is Pres and has the following contact phone number (989) 544-2096.
The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/22/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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