THOMAS C WAGNER

DANVILLE, PA
NPI1538437868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP011541)
Enumeration Date2011-12-01
Last Update Date2011-12-01
Business Address
Mr. THOMAS C WAGNER CRNP
100 N ACADEMY AVE
DANVILLE, PA 17822-2018
Phone number: 570-271-7149
Mailing Address
Mr. THOMAS C WAGNER CRNP
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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