GRAHAM EDWARD WAGNER

LEBANON, NH
NPI1083032858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  5918808-1205)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-03-31
Last Update Date2021-12-16
Business Address
GRAHAM EDWARD WAGNER M.D.
ONE MEDICAL CENTER DR. DHMC - DEPARTMENT OF PAIN MEDICINE
LEBANON, NH 03756-0001
Phone number: 435-901-4647
Mailing Address
GRAHAM EDWARD WAGNER M.D.
PO BOX 680464
PARK CITY, UT 84068-0464
Phone number: 435-901-4647