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1093716573
KARL THOMAS WAGNER
GOSHEN, IN
NPI
1093716573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IN 01062265A)
Enumeration Date
2005-08-09
Last Update Date
2011-09-08
Business Address
Dr. KARL THOMAS WAGNER MD
1824 DORCHESTER CT SUITE A
GOSHEN, IN 46526-6819
Phone number: 574-534-2548
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Mailing Address
Dr. KARL THOMAS WAGNER MD
1824 DORCHESTER CT SUITE A
GOSHEN, IN 46526-6819
Phone number: 574-534-2548
Copy
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