Individual
DIANA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
460 HARTFORD TPKE STE A, VERNON, CT 06066-4847
(860) 896-4877
(860) 896-4876
Mailing address
460 HARTFORD TPKE STE A, VERNON, CT 06066-4847
(860) 896-4877
(860) 896-4876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47653
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
50129
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34678700
—
WI
Enumeration date
08/27/2006
Last updated
04/30/2012
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