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1619973179
RICHARD ALAN WAGNER
EVANSVILLE, IN
NPI
1619973179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01025468)
Enumeration Date
2005-06-21
Last Update Date
2008-06-13
Business Address
Dr. RICHARD ALAN WAGNER M.D.
350 W COLUMBIA ST STE 450
EVANSVILLE, IN 47710-5610
Phone number: 812-425-1596
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Mailing Address
Dr. RICHARD ALAN WAGNER M.D.
350 W COLUMBIA ST STE 450
EVANSVILLE, IN 47710-5610
Phone number: 812-425-1596
Copy
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