Individual
MUNACHIM IFEOMA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
57 W TIMONIUM RD STE 305, TIMONIUM, MD 21093-3106
(443) 275-2068
(410) 705-0074
Mailing address
57 W TIMONIUM RD STE 305, TIMONIUM, MD 21093-3106
(443) 275-2068
(410) 705-0074
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D77703
MD
2084P0800X
Psychiatry Physician
MD476233
PA
Other
Enumeration date
04/19/2010
Last updated
01/12/2026
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