GARY WAGNER

MODESTO, CA
NPI1235160102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A24987)
Enumeration Date2006-07-06
Last Update Date2016-04-01
Business Address
-- GARY WAGNER M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
Mailing Address
-- GARY WAGNER M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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