MICHAEL ROBERT WAGNER

PORTSMOUTH, VA
NPI1558324962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: VA  0101048398)
Enumeration Date2006-04-07
Last Update Date2007-07-08
Business Address
Dr. MICHAEL ROBERT WAGNER MD
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-2114
Mailing Address
Dr. MICHAEL ROBERT WAGNER MD
1337 ROCKBRIDGE AVE
NORFOLK, VA 23508-1339
Phone number: 757-489-0133
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