Individual
DR. KLAUS WOLFGANG WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, VA HEMATOLOGY/ONCOLOGY, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3350 LA JOLLA VILLAGE DR, HEMATOLOGY/ONCOLOGY, SAN DIEGO, CA 92161-0002
(858) 552-8585
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A119744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207614301
—
TX
01
—
A119744
STATE LICENSE
CA
Enumeration date
05/24/2008
Last updated
01/07/2016
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