MR. William Vanwagner, PA-C
NPI #1164456430 in Leeds, Massachusetts
Provider Information
- NPI Number
- 1164456430
- Entity Type
- Individual
- Name
- MR. William Vanwagner, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 421 N MAIN ST
- City
- Leeds
- State
- Massachusetts
- ZIP Code
- 01053-9764
- Phone
- (413) 582-3010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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