Individual
DR. WILLIAM MICHAEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3707
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A128086
CA
207P00000X
Emergency Medicine Physician
Primary
MD-17957
HI
Other
Enumeration date
05/13/2008
Last updated
09/21/2021
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