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1801400502
MADDISON WAGNER
COLUMBUS, OH
NPI
1801400502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OH APRN.CNP.025209)
Enumeration Date
2020-09-01
Last Update Date
2022-02-14
Business Address
MADDISON WAGNER CPNP- PC
700 CHILDRENS DR
COLUMBUS, OH 43205-2639
Phone number: 614-722-3279
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Mailing Address
MADDISON WAGNER CPNP- PC
700 CHILDRENS DR
COLUMBUS, OH 43205-2664
Phone number: 614-722-2000
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