Individual
DR. ALECIA ACEE VANWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
49 LAWRENCE AVUENUE, POTSDAM, NY 13676
(315) 261-5550
(315) 261-5598
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
(315) 261-6023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
247006-1
NY
Other
Enumeration date
01/07/2008
Last updated
10/14/2013
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