Individual
SUGAT WAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W. UNIVERSITY AVE STE 300, MUNCIE, IN 47303
(765) 289-5420
Mailing address
2525 W. UNIVERSITY AVE STE 300, MUNCIE, IN 47303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01090670A
IN
207R00000X
Internal Medicine Physician
35.138952
OH
207RC0000X
Cardiovascular Disease Physician
01090670A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01090670A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
07/20/2023
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