Michael Scott Wagner, OD

NPI #1215676572 in Mill Creek, Washington

Provider Information

NPI Number: 1215676572
Entity Type: Individual
Name: Michael Scott Wagner, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 3, 2022
Last Updated: Jun 3, 2022

Practice Location

Address: 16708 BOTHELL EVERETT HWY STE 103
City: Mill Creek
State: Washington
ZIP Code: 98012-6345
Phone: (425) 481-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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