NICHOLAS VAN WAGONER

BIRMINGHAM, AL
NPI1891816690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: AL  27161)
Enumeration Date2007-04-02
Last Update Date2023-06-28
Business Address
NICHOLAS VAN WAGONER
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 800-822-8816
Mailing Address
NICHOLAS VAN WAGONER
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: