BETH ELLEN WAGNER

BERLIN, VT
NPI1871720482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VT  032.0095970)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AK  5247)
208M00000X Hospitalist
(Licence: VT  032.0095970)
Enumeration Date2009-06-22
Last Update Date2014-12-04
Business Address
-- BETH ELLEN WAGNER DO
130 FISHER RD HOSPITALIST PROGRAM
BERLIN, VT 05602-9516
Phone number: 802-225-1743
Mailing Address
-- BETH ELLEN WAGNER DO
PO BOX 547 ATT: CVMC FINANCE DEPT
BARRE, VT 05641-0547
Phone number: 802-225-1743
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