TRAVIS WAGNER GLENN

WAILUKU, HI
NPI1841729670
Former NameGLENN TRAVIS WAGNER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: HI  MD21270)
Enumeration Date2017-06-06
Last Update Date2021-08-31
Business Address
DR. TRAVIS WAGNER GLENN MD
85 MAUI LANI PKWY
WAILUKU, HI 96793-2416
Phone number: 808-244-5766
Mailing Address
DR. TRAVIS WAGNER GLENN MD
85 MAUI LANI PKWY
WAILUKU, HI 96793-2416
Phone number:
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