Laura Wagner, INC
NPI #1487801635 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1487801635
- Entity Type
- Organization
- Organization Name
- Laura Wagner, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 6 JUNGERMANN CIR
- Address 2
- SUITE 211
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63376-1621
- Phone
- (636) 926-7938
Authorized Official
- Name
- LAURA ELLA WAGNER, M.D.
- Title
- PRESIDENT
- Phone
- (636) 926-8554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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