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1326029885
MARTIN D WAGNER
ANDERSON, IN
NPI
1326029885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01030508)
Enumeration Date
2005-11-10
Last Update Date
2007-10-21
Business Address
-- MARTIN D WAGNER MD
1515 N MADISON AVE
ANDERSON, IN 46011-3453
Phone number: 317-802-6302
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Mailing Address
-- MARTIN D WAGNER MD
PO BOX 68952
INDIANAPOLIS, IN 46268-0952
Phone number: 317-802-6302
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