Individual
DR. MATTHEW PHILLIP WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 MEDICAL PKWY STE 235, ANNAPOLIS, MD 21401-3260
(410) 266-2770
(410) 841-6251
Mailing address
2002 MEDICAL PKWY STE 235, ANNAPOLIS, MD 21401-3260
(410) 266-2770
(410) 841-6251
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D79552
MD
Other
Enumeration date
08/04/2010
Last updated
07/27/2023
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