Individual
MR. PATRICK OWEN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16392 INDIAN FLAT ROAD, NEVADA CITY, CA 95959
(530) 559-1369
Mailing address
16392 INDIAN FLAT ROAD, NEVADA CITY, CA 95959
(530) 559-1369
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G46226
CA
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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