Individual
ELLEN M WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1159 RIVER RD, MARIETTA, PA 17547-1628
(717) 426-1131
Mailing address
615 APPLE RD, LANCASTER, PA 17601-3401
(717) 847-1003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA067135
PA
207Q00000X
Family Medicine Physician
OA007461
PA
Other
Enumeration date
01/05/2026
Last updated
04/08/2026
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