Individual
MICHAELA RENEE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
21 GEISINGER LN, LEWISTOWN, PA 17044-3400
(717) 242-4200
(717) 242-4237
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(717) 242-4200
(717) 242-4237
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS024507
PA
Other
Enumeration date
04/05/2022
Last updated
07/22/2025
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