Nicholas Brennan Wagner, MD

NPI #1003583642 in Tampa, Florida

Provider Information

NPI Number: 1003583642
Entity Type: Individual
Name: Nicholas Brennan Wagner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Aug 23, 2021
Last Updated: May 3, 2022

Practice Location

Address: 17 DAVIS BLVD STE 308
City: Tampa
State: Florida
ZIP Code: 33606-3438
Phone: (813) 974-2201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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