Individual
MR. DANE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OCHSNER CLINIC FOUNDATION - 1401 A. JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR, NEW ORLEANS, LA 70121
(504) 842-3260
Mailing address
101 E ROMANA ST APT 492, PENSACOLA, FL 32502-5870
(850) 855-6631
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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