Jessica H Wagener, MD

NPI #1023180445 in Middlebury, Vermont

Provider Information

NPI Number: 1023180445
Entity Type: Individual
Name: Jessica H Wagener, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 115 PORTER DRIVE
Address 2: PORTER HOSPITAL
City: Middlebury
State: Vermont
ZIP Code: 05753
Phone: (802) 388-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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