Individual
DR. MARY JO HAGE WAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1838 ROSE CREEK DR S, FARGO, ND 58104-6829
(701) 293-3284
Mailing address
1838 ROSE CREEK DR S, FARGO, ND 58104-6829
(701) 799-3284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
338
ND
Other
Enumeration date
04/18/2007
Last updated
10/01/2014
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