Individual
DR. WILLIAM WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
(801) 581-5393
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60745887
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609942085
—
WA
Enumeration date
11/28/2006
Last updated
07/21/2022
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