Michael Wagner, MD

NPI #1437199437 in Medford, Massachusetts

Provider Information

NPI Number: 1437199437
Entity Type: Individual
Name: Michael Wagner, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 170 GOVERNORS AVE
City: Medford
State: Massachusetts
ZIP Code: 02155-1643
Phone: (508) 486-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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