Individual
GERIT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(785) 577-7799
Mailing address
5625 MEADOW VIEW DR, SHAWNEE, KS 66226-2978
(785) 577-7799
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2781
KS
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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