MARIE BROWN-WAGNER

SHIPROCK, NM
NPI1134235385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: CO  50773)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: NY  131753-2)
Enumeration Date2006-08-21
Last Update Date2012-02-02
Business Address
-- MARIE BROWN-WAGNER MD
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
Mailing Address
-- MARIE BROWN-WAGNER MD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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