TERRY JOHN WAGNER

HUDSON, OH
NPI1679574834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34006428)
Enumeration Date2005-08-09
Last Update Date2020-02-03
Business Address
TERRY JOHN WAGNER D.O.
5655 HUDSON DR STE 303
HUDSON, OH 44236-4454
Phone number: 330-800-4800
Mailing Address
TERRY JOHN WAGNER D.O.
5655 HUDSON DR STE 303
HUDSON, OH 44236-4454
Phone number: 330-800-4800