Individual
CURTIS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
3724 RIDGECROFT RD, BALTIMORE, MD 21206-5023
(844) 410-2253
Mailing address
4825 GREENCREST RD, BALTIMORE, MD 21206-4626
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PR0966
MD
175T00000X
Peer Specialist
PR0966
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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