Peter William Wagner, M.D.

NPI #1174531388 in Springfield, Ohio

Provider Information

NPI Number: 1174531388
Entity Type: Individual
Name: Peter William Wagner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Aug 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 30 W MCCREIGHT AVE
Address 2: SUITE 208
City: Springfield
State: Ohio
ZIP Code: 45504-1842
Phone: (937) 399-7021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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