Individual
DR. SHAUN R. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 MANNING DR, DEPARTMENT OF RADIOLOGY, CHAPEL HILL, NC 27514-4220
(919) 966-2992
(919) 962-9625
Mailing address
101 MANNING DR, DEPARTMENT OF RADIOLOGY, CHAPEL HILL, NC 27514-4220
(919) 966-2992
(919) 962-9625
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2015-01726
NC
2085R0202X
Diagnostic Radiology Physician
8942
OK
Other
Enumeration date
04/18/2012
Last updated
04/22/2025
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