Michael A Wagnon, DO

NPI #1992795645 in San Angelo, Texas

Provider Information

NPI Number: 1992795645
Entity Type: Individual
Name: Michael A Wagnon, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Oct 25, 2005
Last Updated: Nov 22, 2011

Practice Location

Address: 225 E BEAUREGARD AVE
City: San Angelo
State: Texas
ZIP Code: 76903-5920
Phone: (325) 658-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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