DR. Ethan E Wagner, DO

NPI #1386643310 in Anderson, Indiana

Provider Information

NPI Number: 1386643310
Entity Type: Individual
Name: DR. Ethan E Wagner, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: DO
Enumeration Date: Jul 20, 2005
Last Updated: Oct 10, 2007

Practice Location

Address: 2015 JACKSON ST
City: Anderson
State: Indiana
ZIP Code: 46016-4337
Phone: (765) 646-8439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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