WAGNER ANTONIO POTTER

STATEN ISLAND, NY
NPI1225831159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-27
Last Update Date2025-03-27
Business Address
WAGNER ANTONIO POTTER MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-5976
Mailing Address
WAGNER ANTONIO POTTER MD
RUA SAPE 1020 APT 502
PORTO ALEGRE, RIO GRANDE DO SUL 91350050
Phone number:
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