Individual
BETHANY DOLORES WAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
9313 W LONGVIEW RD, PARTRIDGE, KS 67566-9030
(620) 960-6072
Mailing address
9313 W LONGVIEW RD, PARTRIDGE, KS 67566-9030
(620) 960-6072
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99074
TX
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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