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Individual
DAVID GARRETT WAGNER
Active
Individual
DAVID GARRETT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25484
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2006
Last updated
02/07/2024
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