DR. Keith Dineen Wagner, M.D. is a student in an organized health care education training program in Flint, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Keith Dineen Wagner, M.D. NPI is 1760047112. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 HURLEY PLZ
FLINT, MI
ZIP 48503-902
Phone: (832) 738-0335
The enumeration date for this NPI number is 5/1/2019 and was last updated on 5/1/2019.