DR. Peter J Wagner, M.D.

NPI #1285995100 in Providence, Rhode Island

Provider Information

NPI Number: 1285995100
Entity Type: Individual
Name: DR. Peter J Wagner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Jun 7, 2012
Last Updated: Jun 26, 2018

Practice Location

Address: 2 DUDLEY ST STE 200
City: Providence
State: Rhode Island
ZIP Code: 02905
Phone: (401) 330-1476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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