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Mr. Jacob Norman Wagner
Other Technician in Redford, Michigan
NPI 1194176784

Jacob Norman Wagner is a Other Technician based in Redford, MI. Jacob Norman Wagner practices in Redford, MI. The NPI Number for Jacob Norman Wagner is 1194176784 and holds a License No. (Michigan).

The current practice location address for Jacob Norman Wagner is 17293 Delaware Ave, Redford, MI and can be reached out via phone at 313-948-7199.

Location: 17293 Delaware Ave, Redford, MI, 48240-2302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194176784
Provider Name
Jacob Norman Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
17293 Delaware Ave, Redford, MI, 48240-2302
Phone Number
313-948-7199
Fax Number
Provider Enumeration Date
06/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17293 Delaware Ave
City
Redford
State
Michigan
Zip
48240-2302
Phone Number
313-948-7199
Fax Number
person
Provider Business Mailing Address Details
Address
17293 Delaware Ave
City
Redford
State
Michigan
Zip
48240-2302
Phone Number
313-948-7199
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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