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Individual

MISS ANNETTE VERONICA WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1155 EAST MTN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-7916
(570) 808-6006
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-7916
(570) 808-6006

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
112588
GA
207V00000X
Obstetrics & Gynecology Physician
238373
NY
207V00000X
Obstetrics & Gynecology Physician
44148
CT
207V00000X
Obstetrics & Gynecology Physician
Primary
MD440690
PA

Other

Enumeration date
06/14/2006
Last updated
05/04/2026
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