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1437199437
MICHAEL WAGNER
MEDFORD, MA
NPI
1437199437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 72830)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- MICHAEL WAGNER MD
170 GOVERNORS AVE
MEDFORD, MA 02155-1643
Phone number: 508-486-5678
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Mailing Address
-- MICHAEL WAGNER MD
13 OLD LANDING RD
PEMBROKE, MA 02359-1948
Phone number: 214-712-2000
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