Joshua Wagenknecht, PA-C

NPI #1629472733 in Lima, Ohio

Provider Information

NPI Number: 1629472733
Entity Type: Individual
Name: Joshua Wagenknecht, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 1001 BELLEFONTAINE AVE
City: Lima
State: Ohio
ZIP Code: 45804-2800
Phone: (419) 291-3627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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