DR. Richard Wagner, M.D.
NPI #1962621631 in Coupeville, Washington
Provider Information
- NPI Number
- 1962621631
- Entity Type
- Individual
- Name
- DR. Richard Wagner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1789 REBECCA LANE
- City
- Coupeville
- State
- Washington
- ZIP Code
- 98239-0339
- Phone
- (360) 678-1383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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