KATHERINE WAGNER

FORT WAYNE, IN
NPI1639038789
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2026-01-15
Last Update Date2026-01-15
Business Address
KATHERINE WAGNER
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 844-874-6378
Mailing Address
KATHERINE WAGNER
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: