IndividualActive
Adrienne Wagner, D.O.
NPI 1346687183 · Family Medicine Physician · Traverse City, MI
Provider details
- NPI number
- 1346687183
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 5101020599 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5015 N Royal Dr
Traverse City, MI 49684-9292
Phone: (231) 935-0850
Fax: (231) 935-0869
Approximate (ZIP-level) locationGet directions
Mailing address
5015 N Royal Dr
Traverse City, MI 49684-9292
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.