Individual
DR. FRED ARTHUR WAGSHUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8371 YANKEE ST, DAYTON, OH 45458-1810
(937) 859-5864
(937) 859-8858
Mailing address
PO BOX 636746, CINCINNATI, OH 45263-0001
(937) 859-5864
(937) 859-8858
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
35-054353
OH
364SF0001X
Family Health Clinical Nurse Specialist
Primary
F09200497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636262
—
OH
Enumeration date
10/12/2005
Last updated
11/10/2022
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