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Individual

DR. ANDREW JOHN WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
3170 N FEDERAL HWY STE 115, LIGHTHOUSE POINT, FL 33064-6786
(954) 943-9020
Mailing address
3170 N FEDERAL HWY STE 115, LIGHTHOUSE POINT, FL 33064-6721
(954) 943-9020

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2262
FL

Other

Enumeration date
05/09/2019
Last updated
05/09/2019
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