Individual
ASHLEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 MARKET PLACE DR, MAUMEE, OH 43537-3847
(419) 887-0270
Mailing address
926 SHADOW LN, TOLEDO, OH 43615-7716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005438
OH
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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