MS. Monisa Deanne Wagner

NPI #1003180860 in Danville, Pennsylvania

Provider Information

NPI Number: 1003180860
Entity Type: Individual
Name: MS. Monisa Deanne Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Feb 26, 2012
Last Updated: Dec 24, 2020

Practice Location

Address: 100 N ACADEMY AVE
City: Danville
State: Pennsylvania
ZIP Code: 17822-1339
Phone: (570) 271-7910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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