Michelle Dean Wagner in Cape Girardeau - Professional

Michelle Dean Wagner - NPI 1528265956

Michelle Dean Wagner is a Professional in Cape Girardeau, Missouri. Michelle Dean Wagner practices all healthcare services and medical treatments related to Professional. The NPI Number for Michelle Dean Wagner is 1528265956. The last update date is 2007-07-08.

Michelle Dean Wagner's current location address is 1806 Northbridge St, Cape Girardeau, Missouri. You can contact this provider via phone number 5733327889 and fax number 5733327889. The mailing address for Michelle Dean Wagner is 1806 Northbridge St, Cape Girardeau, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Dean Wagner
Address 1806 Northbridge St, Cape Girardeau, Missouri
Phone Number 5733327889
Fax Number 5733327889
Sole Proprietor Y
Credentials M.S.,L.P.C

NPI Number Detail

NPI Number 1528265956
Provider Enumeration Date 2007-06-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1806 Northbridge St
City Cape Girardeau
State Missouri (MO)
Post Code 637012532
Phone Number 5733327889
Fax Number 5733327889

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 2001012922
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
495017337 MO --

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FAQs about Michelle Dean Wagner

What is the unique 10-digit identifier code issued to Michelle Dean Wagner by the Centers for Medicare & Medicaid Services?

The Michelle Dean Wagner has been assigned the NPI (National Provider Identifier) 1528265956 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Michelle Dean Wagner is located?

The Michelle Dean Wagner is situated at the following address: 1806 Northbridge St, Cape Girardeau, MO, 637012532.

What is Michelle Dean Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michelle Dean Wagner is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

On what date was the 1528265956 assigned to Michelle Dean Wagner?

The Michelle Dean Wagner was issued its 1528265956 on 2007-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Michelle Dean Wagner most recently updated or revised?

The information pertaining to Michelle Dean Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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