Search › Michigan › 374U00000X
Seth Wagner
NPI 1376452854 · on the registry since 2026 · sole proprietor
Practice
- Address
- 610 Mall Dr Apt 110
Portage, MI 49024 - Phone
- (616) 666-4472
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan