Individual
DR. JAMES MARTIN WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 N DIVISION ST, PLAZA 2 SUITE 201, AUBURN, WA 98001-4939
(253) 939-1230
Mailing address
15248 SE 366TH PL, AUBURN, WA 98092-9473
(253) 735-3322
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00019811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8570806
—
WA
Enumeration date
03/30/2006
Last updated
07/08/2007
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