Individual
SUSHANT WAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 50TH ST STE 133, WEST DES MOINES, IA 50266-5920
(515) 222-6400
(515) 225-8921
Mailing address
1501 50TH ST STE 133, WEST DES MOINES, IA 50266-5920
(515) 222-6400
(515) 225-8921
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
49879
IA
Other
Enumeration date
07/13/2016
Last updated
05/01/2023
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