Individual
ANNA MICHELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1411 S POTOMAC ST STE 210, AURORA, CO 80012-4538
(303) 695-6106
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008124
CO
Other
Enumeration date
06/10/2022
Last updated
03/13/2025
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