DR. John A Wagoner, M.D.
NPI #1114974284 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1114974284
- Entity Type
- Individual
- Name
- DR. John A Wagoner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- May 27, 2006
- Last Updated
- Feb 15, 2008
Practice Location
- Address
- 800 N ALPHA ST
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-4320
- Phone
- (308) 382-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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