MR. Shawn Michael Wagner, PHYSICIAN ASSISTANT
NPI #1538127337 in Windsor, North Carolina
Provider Information
- NPI Number
- 1538127337
- Entity Type
- Individual
- Name
- MR. Shawn Michael Wagner, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- May 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1403 S KING ST
- City
- Windsor
- State
- North Carolina
- ZIP Code
- 27983-9666
- Phone
- (252) 794-6785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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