Individual
DR. AUDREY KARIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 SAINT PAUL ST, MERCY MEDICAL CENTER, 9TH FLOOR, ICU, BALTIMORE, MD 21202-2123
(410) 332-9610
Mailing address
5 CHRIS ELIOT CT, COCKEYSVILLE, MD 21030-1525
(203) 249-4367
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
256996
NY
207P00000X
Emergency Medicine Physician
D73965
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D73965
MD
Other
Enumeration date
04/28/2008
Last updated
10/06/2016
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