Individual
DR. JOEL WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3542 NAVARRE AVE, OREGON, OH 43616-3430
(419) 693-4444
Mailing address
7451 WINTERBERRY CT, MAUMEE, OH 43537-9155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007317
OH
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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