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Individual
MR. WILLIAM WAGNER
Active
Individual
MR. WILLIAM WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032380
NY
363A00000X
Physician Assistant
—
NJ
363AS0400X
Surgical Physician Assistant
—
NJ
363AS0400X
Surgical Physician Assistant
—
NY
Other
Enumeration date
07/23/2024
Last updated
09/06/2024
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