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Individual
DR. RUTH ANNE WAGNER
Active
Individual
DR. RUTH ANNE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD461020
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD461020
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT206016
PA
Other
Enumeration date
05/29/2014
Last updated
02/20/2026
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