Individual
BETH ELLEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 FISHER RD, HOSPITALIST PROGRAM, BERLIN, VT 05602-9516
(802) 225-1743
(802) 225-1745
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-1743
(802) 225-1745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032.0095970
VT
207Q00000X
Family Medicine Physician
5247
AK
208M00000X
Hospitalist Physician
032.0095970
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022074
—
VT
05
—
MD0914
—
AK
Enumeration date
06/22/2009
Last updated
12/04/2014
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