# GOOD MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689220048
- **Authorized official:** DR. CHRISTOPHER WAGNER MD (CEO)
- **Authorized official phone:** (410) 206-7190

## Contact information

- **Practice address:** 1370 ODENTON RD, ODENTON, MD 21113-1503
- **Practice address phone:** (410) 696-4555
- **Mailing address:** 832 MAPLE RD, GAMBRILLS, MD 21054-1122
- **Mailing address phone:** (410) 206-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2019
- **Last updated:** 08/12/2019