Individual
MRS. ROBBIN W WAGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3165 NAVARRE AVE, OREGON, OH 43616-4348
(419) 698-2350
(419) 698-8669
Mailing address
1180 N MONROE ST, MONROE, MI 48162-3190
(734) 243-5300
(734) 243-9956
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4152
OH
152W00000X
Optometrist
4901004474
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786172
—
OH
Enumeration date
01/17/2006
Last updated
11/03/2023
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