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Individual
MICHAEL WAGGONER
Active
Individual
MICHAEL WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T2009017030
MO
207W00000X
Ophthalmology Physician
5341
OK
207W00000X
Ophthalmology Physician
E-8612
AR
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
E-8612
AR
Other
Enumeration date
07/01/2009
Last updated
06/14/2022
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