Michael D Wagner, MD

NPI #1043217797 in Espanola, New Mexico

Provider Information

NPI Number: 1043217797
Entity Type: Individual
Name: Michael D Wagner, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine - Pulmonary Disease
Credential: MD
Enumeration Date: Jul 7, 2005
Last Updated: Apr 11, 2024

Practice Location

Address: 1010 SPRUCE ST 3RD FL AREA 5
City: Espanola
State: New Mexico
ZIP Code: 87532-2724
Phone: (505) 367-0340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary

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