Individual
ROBERT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 7TH ST STE 100, BERKELEY, CA 94710-2703
(510) 845-5170
Mailing address
75 SEA BRG, ALAMEDA, CA 94502-6518
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
A41235
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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