TIMOTHY MICHAEL WAGNER

BUFFALO, NY
NPI1164201646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
TIMOTHY MICHAEL WAGNER
200 LAKEFRONT BLVD
BUFFALO, NY 14202-4355
Phone number: 716-383-4245
Mailing Address
TIMOTHY MICHAEL WAGNER
200 LAKEFRONT BLVD
BUFFALO, NY 14202-4355
Phone number: 716-383-4245
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