Individual
THANH H DUONG WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1411 N FLAGLER DR STE 8000, WEST PALM BEACH, FL 33401-3413
(561) 655-1318
(561) 655-6623
Mailing address
1411 N FLAGLER DR STE 8000, WEST PALM BEACH, FL 33401-3413
(561) 655-1318
(850) 857-1747
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
22999
WI
207RC0000X
Cardiovascular Disease Physician
Primary
ME77423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009926650
—
AL
05
—
2594315 00
—
FL
Enumeration date
07/26/2005
Last updated
09/14/2022
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