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1144219403
MATTHEW M WAGNER
COLUMBUS, OH
NPI
1144219403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH 35080926)
Enumeration Date
2005-10-19
Last Update Date
2022-03-26
Business Address
MATTHEW M WAGNER MD
793 W STATE ST
COLUMBUS, OH 43222-1551
Phone number: 614-234-5100
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Mailing Address
MATTHEW M WAGNER MD
DEPT L-647
COLUMBUS, OH 43260-0001
Phone number: 866-287-0568
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