Individual
MR. MARCUS JACKSON WAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
161 S 500 W, ANDERSON, IN 46011-9122
(765) 374-3010
Mailing address
161 S 500 W, ANDERSON, IN 46011-9122
(765) 374-3010
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
28078679A
IN
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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