Individual
DR. SHARON SANBORN WAGAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
870 W MAIN ST, GENEVA, OH 44041-1219
(440) 415-0158
(216) 201-8172
Mailing address
19151 NELSON PARKMAN RD, GARRETTSVILLE, OH 44231-9559
(440) 468-9239
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
57.010919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2838317
—
OH
Enumeration date
05/23/2007
Last updated
12/22/2020
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