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Individual

PATRICK L WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
314 E NORTH AVE, PITTSBURGH, PA 15212-4737
(412) 359-3731
(412) 442-2323
Mailing address
314 E NORTH AVE, PITTSBURGH, PA 15212-4737
(412) 359-3731
(412) 442-2323

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101251305
VA
208600000X
Surgery Physician
Primary
MD439548
PA

Other

Enumeration date
05/20/2008
Last updated
11/12/2020
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