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Organization
WAGNER PSYCHIATRY LLC
Active
Organization
WAGNER PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WAGNER PMHNP (OWNER)
(419) 452-0495
Entity
Organization
Contact information
Practice address
5800 MONROE ST STE A9, SYLVANIA, OH 43560-2208
(419) 452-0495
Mailing address
1309 N HAVEN RD, TOLEDO, OH 43615-4732
(419) 452-0495
(419) 273-0608
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/20/2026
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