MICAH C WAGNER

OMAHA, NE
NPI1598212748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2016-09-06
Last Update Date2016-09-06
Business Address
-- MICAH C WAGNER
9012 Q ST
OMAHA, NE 68127-3549
Phone number: 402-559-6408
Mailing Address
-- MICAH C WAGNER
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-6408
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