Individual
MR. JAMES L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 PEARL ROAD, 2ND FLOOR, MIDDLEBURG HEIGHTS, OH 44130-3639
(440) 845-0900
(440) 845-7355
Mailing address
6900 PEARL ROAD, 2ND FLOOR, MIDDLEBURG HEIGHTS, OH 44130-3639
(440) 845-0900
(440) 845-7355
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
35052657
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152138
—
OH
Enumeration date
03/02/2007
Last updated
04/18/2012
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