Individual
DR. ROSALIE ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 CREEKSIDE DR, HUBBARD, OH 44425-2676
(330) 240-9923
Mailing address
520 CREEKSIDE DR, HUBBARD, OH 44425-2676
(330) 240-9923
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
096858
OH
208000000X
Pediatrics Physician
57015970
OH
Other
Enumeration date
06/28/2010
Last updated
01/20/2022
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