Russell Wagner, MD

NPI #1154365013 in Fort Worth, Texas

Provider Information

NPI Number: 1154365013
Entity Type: Individual
Name: Russell Wagner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jun 15, 2006
Last Updated: Dec 18, 2023

Practice Location

Address: 1500 S MAIN ST
City: Fort Worth
State: Texas
ZIP Code: 76104-4917
Phone: (817) 702-7144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery — Adult Reconstructive Orthopaedic Surgery	207XS0114X
Orthopaedic Surgery	207X00000X	Primary

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