Individual
CHARLOTTE BOWEN WAGAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15957 CONNEAUT LAKE ROAD SUITE 3, MEADVILLE, PA 16335
(440) 858-3175
(814) 724-5295
Mailing address
15957 CONNEAUT LAKE ROAD SUITE 3, MEADVILLE, PA 16335
(440) 858-3175
(814) 724-5295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD044011L
PA
Other
Enumeration date
02/24/2006
Last updated
03/05/2019
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