Mark T. Wagner, DO

NPI #1346373446 in Portsmouth, Ohio

Provider Information

NPI Number: 1346373446
Entity Type: Individual
Name: Mark T. Wagner, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Mar 14, 2007
Last Updated: Sep 26, 2022

Practice Location

Address: 1248 KINNEYS LN
City: Portsmouth
State: Ohio
ZIP Code: 45662-2994
Phone: (740) 356-7290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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