Individual
DR. TODD L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
1887 POWHATAN ST., NAVY ENVIRONMENTAL AND PREVENTIVE MEDICINE UNIT 2, NORFOLK, VA 23511
(757) 935-6552
Mailing address
2773 PLEASANT ACRES DR, VIRGINIA BEACH, VA 23453-7326
(757) 953-6552
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
20A8267
CA
Other
Enumeration date
10/14/2005
Last updated
07/21/2008
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