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Individual

DR. ROSS GARRETT WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
505 NE 87TH AVE, SUITE 46.5, VANCOUVER, WA 98664-1989
(360) 828-5396
(360) 828-5455
Mailing address
505 NE 87TH AVE, SUITE 46.5, VANCOUVER, WA 98664-1989
(360) 828-5396
(360) 828-5455

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60337701
WA

Other

Enumeration date
11/09/2009
Last updated
07/24/2013
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