Terry John Wagner, D.O.

NPI #1679574834 in Hudson, Ohio

Provider Information

NPI Number: 1679574834
Entity Type: Individual
Name: Terry John Wagner, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Aug 9, 2005
Last Updated: Feb 3, 2020

Practice Location

Address: 5655 HUDSON DR STE 303
City: Hudson
State: Ohio
ZIP Code: 44236-4454
Phone: (330) 800-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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