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1912194366
MICHAEL JACOB WAGNER
SALT LAKE CITY, UT
NPI
1912194366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A92317)
Enumeration Date
2007-10-01
Last Update Date
2024-05-16
Business Address
Dr. MICHAEL JACOB WAGNER M.D.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
Dr. MICHAEL JACOB WAGNER M.D.
30 N. MARIO CAPECCHI DR. HELIX BUILDING 5050
SALT LAKE CITY, UT 84112
Phone number: 801-581-6393
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