Individual
RANDALL P WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WASHINGTON ADVENTIST HOSPITAL, 7600 CARROLL AVENUE, TAKOMA PARK, MD 20912
(301) 891-5957
Mailing address
1300 PICCARD DRIVE, SUITE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
00044957
MD
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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