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1710989785
MARC ANTHONY WAGNER
BEND, OR
NPI
1710989785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR MD25280)
Enumeration Date
2005-08-10
Last Update Date
2012-08-01
Business Address
Mr. MARC ANTHONY WAGNER MD
2200 NE NEFF RD STE 200
BEND, OR 97701-4283
Phone number: 541-382-3344
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Mailing Address
Mr. MARC ANTHONY WAGNER MD
2200 NE NEFF RD STE 200
BEND, OR 97701-4283
Phone number: 541-382-3344
Copy
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