Individual
DR. ANDREW JAMES WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 247-4311
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50990
CT
207P00000X
Emergency Medicine Physician
57.012577
OH
207P00000X
Emergency Medicine Physician
DR.0052737
CO
Other
Enumeration date
04/20/2007
Last updated
03/05/2021
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