Individual
DR. MARIE SUSAN WAGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
250 CETRONIA RD, SUITE 301, ALLENTOWN, PA 18104-9147
(610) 437-2378
Mailing address
250 CETRONIA RD, SUITE 301, ALLENTOWN, PA 18104-9147
(610) 437-2378
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS016478
PA
Other
Enumeration date
07/01/2009
Last updated
08/19/2020
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