DOUGLAS E WAGNER

GRASS VALLEY, CA
NPI1154340479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A26753)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
-- DOUGLAS E WAGNER M.D.
140 LITTON DR STE 100
GRASS VALLEY, CA 95945-5078
Phone number: 530-272-9780
Mailing Address
-- DOUGLAS E WAGNER M.D.
PO BOX 459001
GRASS VALLEY, CA 95945-9101
Phone number: 530-272-9780
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