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Organization
GOOD MEDICINE, PC
Active
Organization
GOOD MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER WAGNER MD (CEO)
(410) 206-7190
Entity
Organization
Contact information
Practice address
1370 ODENTON RD, ODENTON, MD 21113-1503
(410) 696-4555
Mailing address
832 MAPLE RD, GAMBRILLS, MD 21054-1122
(410) 206-7190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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