THEODORE T WAGNER

LAFAYETTE, IN
NPI1831162791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IN  01050471A)
Enumeration Date2006-02-10
Last Update Date2026-03-24
Business Address
THEODORE T WAGNER MD
3920 ST FRANCIS WAY STE 105
LAFAYETTE, IN 47905-4917
Phone number: 765-502-4000
Mailing Address
THEODORE T WAGNER MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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