Individual
GARRETT TORRES WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 AVENIDA TRIESTE, SAN CLEMENTE, CA 92672-3238
(703) 576-7913
Mailing address
2511 W CORTLAND ST APT 1, CHICAGO, IL 60647-7018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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