Charles John Wagner, MD

NPI #1366540742 in Salem, Oregon

Provider Information

NPI Number
1366540742
Entity Type
Individual
Name
Charles John Wagner, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Allergy & Immunology
Credential
MD
Enumeration Date
Sep 20, 2006
Last Updated
Jul 5, 2016

Practice Location

Address
1793 13TH ST SE
City
Salem
State
Oregon
ZIP Code
97302-2541
Phone
(503) 362-8385

Specialties & Taxonomy Codes

Specialty
Allergy & Immunology

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