Family Medicine
MICHELLE CERVIN -WAGNER DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1891711362 · enumerated 2006-07-15 · record updated 2025-02-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MICHELLE CERVIN
Addresses and phones
- Practice location 320 S DR MARTIN LUTHER KING JR BLVD STE 300, SOUTH BEND, IN, 46601-2358 (574) 406-6376 Fax (574) 406-6377 Google Maps Apple Maps OpenStreetMap
- Mailing address 14504 DOUGLAS RD, MISHAWAKA, IN, 46545-1709 (574) 344-0479 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 5101011099 MI
- Family Medicine 207Q00000X · Primary · License 02001685 IN
In this directory
Locations and evidence
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Practice location
SOUTH BEND, IN, 466012358
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.