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1023009461
STEPHEN IRWIN WAGNER
BRANDON, FL
NPI
1023009461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME15542)
Enumeration Date
2005-11-03
Last Update Date
2016-02-09
Business Address
-- STEPHEN IRWIN WAGNER M.D.
401 OAKFIELD DR
BRANDON, FL 33511-5710
Phone number: 813-654-2273
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Mailing Address
-- STEPHEN IRWIN WAGNER M.D.
505 OAKFIELD DR
BRANDON, FL 33511-5700
Phone number: 813-654-2273
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