CHARLES JOHN WAGNER

SALEM, OR
NPI1366540742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: OR  OR14081)
Enumeration Date2006-09-20
Last Update Date2016-07-05
Business Address
-- CHARLES JOHN WAGNER MD
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 503-362-8385
Mailing Address
-- CHARLES JOHN WAGNER MD
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 503-362-8385