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1649211764
MARK DAVID WAGNER
SEATTLE, WA
NPI
1649211764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine Sports Medicine
(Licence: WA MD00022633)
Enumeration Date
2006-06-09
Last Update Date
2019-05-07
Business Address
MARK DAVID WAGNER M.D.
1000 DEXTER AVE N STE 320
SEATTLE, WA 98109-4878
Phone number: 206-620-0333
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Mailing Address
MARK DAVID WAGNER M.D.
1000 DEXTER AVE N STE 320
SEATTLE, WA 98109-4878
Phone number: 206-620-0333
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