Individual
WILLIAM WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13858841-1205
UT
207W00000X
Ophthalmology Physician
35.147743
OH
207W00000X
Ophthalmology Physician
8641
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2019
Last updated
11/26/2024
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