THOR WAGNER

SEATTLE, WA
NPI1447333521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0208X Pediatrics Pediatric Infectious Diseases
(Licence: WA  MD00044528)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
THOR WAGNER MD
1959 NE PACIFIC ST C212, BOX 356340
SEATTLE, WA 98195-6340
Phone number: 206-543-0065
Mailing Address
THOR WAGNER MD
1959 NE PACIFIC ST C212, BOX 356340
SEATTLE, WA 98195-6340
Phone number: