DONALD C WAGNER

MELBOURNE, FL
NPI1811065675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME0043255)
Enumeration Date2006-12-01
Last Update Date2012-02-15
Business Address
-- DONALD C WAGNER M.D.
1350 S HICKORY STREET
MELBOURNE, FL 32901
Phone number: 321-254-6218
Mailing Address
-- DONALD C WAGNER M.D.
PO BOX 361907
MELBOURNE, FL 32906-1907
Phone number: 321-254-6218