Individual
DR. MICHAEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7389
(410) 543-7595
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7389
(410) 543-7595
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C1-0009592
DE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D71661
MD
Other
Enumeration date
06/07/2007
Last updated
01/05/2012
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