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Individual
SHERI LYNN WAGNER
Active
Individual
SHERI LYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
244296
NY
208M00000X
Hospitalist Physician
Primary
244296
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028151603
UNIVERA
—
01
—
000593566005
BC/BS
—
05
—
02904805
—
NY
01
—
080515000066
FIDELIS
—
01
—
080515000092
FIDELIS
—
01
—
1214325
IHA
—
Enumeration date
06/11/2007
Last updated
04/03/2025
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