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Individual
SIJIE JOY SHEN-WAGNER
Active
Individual
SIJIE JOY SHEN-WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38737
SC
207Q00000X
Family Medicine Physician
ME116152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009096500
—
FL
01
—
14R6S
BCBSFL
FL
05
—
387370
—
SC
Enumeration date
06/11/2010
Last updated
09/13/2018
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