DANIEL WAGONER

INDIANAPOLIS, IN
NPI1952070799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28226050A)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
DANIEL WAGONER
8902 N MERIDIAN ST STE 101
INDIANAPOLIS, IN 46260-5306
Phone number: 317-848-8048
Mailing Address
DANIEL WAGONER
8902 N MERIDIAN ST STE 101
INDIANAPOLIS, IN 46260-5306
Phone number: 317-848-8048
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