Individual
EMILY MARIE WANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-9355
Mailing address
3722 E PATTERSON RD APT D, BEAVERCREEK, OH 45430-1226
(571) 926-5577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
08/28/2023
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