Individual
BENJAMIN JOHN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 250-2000
(716) 250-2040
Mailing address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 250-2000
(716) 250-2040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016475
NY
Other
Enumeration date
03/14/2013
Last updated
05/03/2017
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