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1205618857
GRANT PATRICK WAGNER
BIRMINGHAM, AL
NPI
1205618857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-18
Last Update Date
2024-03-25
Business Address
Dr. GRANT PATRICK WAGNER MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-996-5193
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Mailing Address
Dr. GRANT PATRICK WAGNER MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-996-5193
Copy
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