SHAUNA R WAGNER

FORT WAYNE, IN
NPI1134993322
Former NameSHAUNA R BROSOSKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  28144054A)
Enumeration Date2023-11-08
Last Update Date2024-04-02
Business Address
SHAUNA R WAGNER NP
11055 TWIN CREEKS CV
FORT WAYNE, IN 46845-2204
Phone number: 260-425-6120
Mailing Address
SHAUNA R WAGNER NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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