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1316916448
GISELA L WAGNER
MELBOURNE, FL
NPI
1316916448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: FL ME98773)
Enumeration Date
2006-03-14
Last Update Date
2022-05-20
Business Address
GISELA L WAGNER MD
1223 GATEWAY DR SUITE 1E
MELBOURNE, FL 32901-2607
Phone number: 321-312-3312
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Mailing Address
GISELA L WAGNER MD
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number:
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