MICHAEL WAGNER

MEDFORD, MA
NPI1437199437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MA  72830)
Enumeration Date2006-06-07
Last Update Date2007-07-08
Business Address
-- MICHAEL WAGNER MD
170 GOVERNORS AVE
MEDFORD, MA 02155-1643
Phone number: 508-486-5678
Mailing Address
-- MICHAEL WAGNER MD
13 OLD LANDING RD
PEMBROKE, MA 02359-1948
Phone number: 214-712-2000
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