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Individual
DR. JERE L WAGNER
Active
Individual
DR. JERE L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD025370-E
PA
207Q00000X
Family Medicine Physician
Primary
MD025370E
PA
Other
Enumeration date
02/07/2006
Last updated
06/23/2022
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