MAXWELL SOLOMON WAGNER

NORFOLK, VA
NPI1376171306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-27
Last Update Date2020-03-27
Business Address
MAXWELL SOLOMON WAGNER MD
825 FAIRFAX AVE STE 610
NORFOLK, VA 23507-1914
Phone number: 757-446-8950
Mailing Address
MAXWELL SOLOMON WAGNER MD
720 REDGATE AVE APT 6
NORFOLK, VA 23507-1629
Phone number: 757-679-8303
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