Individual
JADEE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-4357
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8207, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2024021160
MO
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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