# DR. FRANK HALL WAGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205033537
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 008972 | LA | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 09/09/2007
