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Individual
BRIAN EUGENE WAGERS
Active
Individual
BRIAN EUGENE WAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.093321
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
01072502A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
U1402
TX
Other
Enumeration date
05/17/2007
Last updated
03/14/2023
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