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Individual
KURT WAGNER
Active
Individual
KURT WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2019-00856
NC
207L00000X
Anesthesiology Physician
Primary
A168791
CA
Other
Enumeration date
04/07/2015
Last updated
09/14/2022
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