Individual
DR. JESSICA L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2730 UNIVERSITY BLVD, SUITE 104, WHEATON, MD 20902-1979
(301) 942-8799
(301) 933-8554
Mailing address
2730 UNIVERSITY BLVD, SUITE 104, WHEATON, MD 20902-1979
(301) 942-8799
(301) 933-8554
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H70799
MD
Other
Enumeration date
01/27/2009
Last updated
06/03/2011
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