JOHN E WAGONER

LAFAYETTE, IN
NPI1891755252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IN  01020202A)
Enumeration Date2006-03-27
Last Update Date2007-10-24
Business Address
-- JOHN E WAGONER MD
1411 S CREASY LN SUITE 120
LAFAYETTE, IN 47905-7433
Phone number: 765-447-4165
Mailing Address
-- JOHN E WAGONER MD
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-447-4165
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