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Individual
DR. CARL WAGREICH
Active
Individual
DR. CARL WAGREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E2415
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E2415
CA
213ER0200X
Radiology Podiatrist
E2415
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2415
CA
Other
Enumeration date
05/23/2005
Last updated
10/30/2009
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