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1174145569
MICHAEL GEOFFREY WAGNER
BRIDGEPORT, CT
NPI
1174145569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 74026)
Enumeration Date
2020-05-08
Last Update Date
2023-07-07
Business Address
MICHAEL GEOFFREY WAGNER DO
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 475-210-5718
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Mailing Address
MICHAEL GEOFFREY WAGNER DO
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 475-210-5718
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