Steven Glenn Wagner

NPI #1528155991 in Wauseon, Ohio

Provider Information

NPI Number: 1528155991
Entity Type: Individual
Name: Steven Glenn Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 6, 2006
Last Updated: Oct 12, 2007

Practice Location

Address: 735 S SHOOP AVE
City: Wauseon
State: Ohio
ZIP Code: 43567-1735
Phone: (419) 335-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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