ANGELA D WAGNER

FARGO, ND
NPI1073531711
Former NameANGELA D DIEDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ND  PAC0344)
Enumeration Date2006-07-18
Last Update Date2022-01-25
Business Address
ANGELA D WAGNER PA-C
700 1ST AVE S
FARGO, ND 58103-1802
Phone number: 701-234-4023
Mailing Address
ANGELA D WAGNER PA-C
2401 41ST ST S STE 101
FARGO, ND 58104-7783
Phone number: 701-234-4023
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