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1811065675
DONALD C WAGNER
MELBOURNE, FL
NPI
1811065675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME0043255)
Enumeration Date
2006-12-01
Last Update Date
2012-02-15
Business Address
-- DONALD C WAGNER M.D.
1350 S HICKORY STREET
MELBOURNE, FL 32901
Phone number: 321-254-6218
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Mailing Address
-- DONALD C WAGNER M.D.
PO BOX 361907
MELBOURNE, FL 32906-1907
Phone number: 321-254-6218
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