Individual
JOHN P WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4465 DARROW RD, STOW, OH 44224-1884
(330) 688-9918
(330) 688-4718
Mailing address
4465 DARROW RD, STOW, OH 44224-1884
(330) 688-9918
(330) 688-4718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722427
—
OH
Enumeration date
06/14/2006
Last updated
04/24/2025
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