Mark Andrew Wagner, DO
NPI #1336130087 in Madera, California
Provider Information
- NPI Number
- 1336130087
- Entity Type
- Individual
- Name
- Mark Andrew Wagner, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- DO
- Enumeration Date
- Nov 2, 2005
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 36680 CLOVERLEAF AVE
- City
- Madera
- State
- California
- ZIP Code
- 93636-8519
- Phone
- (209) 489-9347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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