Michael Wayne Wagoner, DO

NPI #1902429749 in Celina, Texas

Provider Information

NPI Number: 1902429749
Entity Type: Individual
Name: Michael Wayne Wagoner, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 27, 2020
Last Updated: Jun 26, 2024

Practice Location

Address: 1109 AZURE LN
City: Celina
State: Texas
ZIP Code: 75009-1798
Phone: (757) 971-0190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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