Beth Ellen Wagner, DO

NPI #1871720482 in Berlin, Vermont

Provider Information

NPI Number: 1871720482
Entity Type: Individual
Name: Beth Ellen Wagner, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 22, 2009
Last Updated: Dec 4, 2014

Practice Location

Address: 130 FISHER RD
Address 2: HOSPITALIST PROGRAM
City: Berlin
State: Vermont
ZIP Code: 05602-9516
Phone: (802) 225-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Hospitalist	208M00000X

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