DR. Marie Susan Wagener, D.O.

NPI #1104054923 in Allentown, Pennsylvania

Provider Information

NPI Number: 1104054923
Entity Type: Individual
Name: DR. Marie Susan Wagener, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: D.O.
Enumeration Date: Jul 1, 2009
Last Updated: Aug 19, 2020

Practice Location

Address: 250 CETRONIA RD
Address 2: SUITE 301
City: Allentown
State: Pennsylvania
ZIP Code: 18104-9147
Phone: (610) 437-2378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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