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1073809281
MERCY DANIELLE WAGNER
PORTSMOUTH, VA
NPI
1073809281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: VA 0101253448)
Enumeration Date
2011-06-26
Last Update Date
2024-08-19
Business Address
MERCY DANIELLE WAGNER M.D.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-5254
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Mailing Address
MERCY DANIELLE WAGNER M.D.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-2544
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