Mark Elliot Wagner, D.O.
NPI #1033202502 in Reading, Pennsylvania
Provider Information
- NPI Number
- 1033202502
- Entity Type
- Individual
- Name
- Mark Elliot Wagner, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Feb 11, 2020
Practice Location
- Address
- 623 NORTH 5TH STREET
- City
- Reading
- State
- Pennsylvania
- ZIP Code
- 19601
- Phone
- (610) 374-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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