John E Wagoner, MD

NPI #1891755252 in Lafayette, Indiana

Provider Information

NPI Number
1891755252
Entity Type
Individual
Name
John E Wagoner, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthopaedic Surgery
Credential
MD
Enumeration Date
Mar 27, 2006
Last Updated
Oct 24, 2007

Practice Location

Address
1411 S CREASY LN
Address 2
SUITE 120
State
Indiana
ZIP Code
47905-7433
Phone
(765) 447-4165

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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