STEPHEN IRWIN WAGNER

BRANDON, FL
NPI1023009461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: FL  ME15542)
Enumeration Date2005-11-03
Last Update Date2016-02-09
Business Address
-- STEPHEN IRWIN WAGNER M.D.
401 OAKFIELD DR
BRANDON, FL 33511-5710
Phone number: 813-654-2273
Mailing Address
-- STEPHEN IRWIN WAGNER M.D.
505 OAKFIELD DR
BRANDON, FL 33511-5700
Phone number: 813-654-2273