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Organization
JEFFREY D. WAGNER, MD, PC
Active
Organization
JEFFREY D. WAGNER, MD, PC
Active
Other names
Wagner and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D. WAGNER MD (PRESIDENT)
(317) 621-2520
Entity
Organization
Contact information
Practice address
8040 CLEARVISTA PKWY STE 570, INDIANAPOLIS, IN 46256-4673
(317) 621-2580
(317) 621-2580
Mailing address
8040 CLEARVISTA PKWY STE 570, INDIANAPOLIS, IN 46256-4673
(317) 621-2580
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/07/2007
Last updated
11/02/2021
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