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Individual
DR. MICHAEL WAGNER
Active
Individual
DR. MICHAEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C1-0009592
DE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D71661
MD
Other
Enumeration date
06/07/2007
Last updated
01/05/2012
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