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1356584189
BRANT WAGENER
BIRMINGHAM, AL
NPI
1356584189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AL 30516)
Enumeration Date
2009-04-09
Last Update Date
2023-06-29
Business Address
BRANT WAGENER
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 800-822-8816
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Mailing Address
BRANT WAGENER
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number:
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