Michael Wagner

NPI #1881924553 in Bothell, Washington

Provider Information

NPI Number: 1881924553
Entity Type: Individual
Name: Michael Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 1, 2010
Last Updated: Jan 1, 2010

Practice Location

Address: 20812 BOTHELL EVERETT HWY
City: Bothell
State: Washington
ZIP Code: 98021-8404
Phone: (425) 398-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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