Individual
MAKAYLA JO WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6001 SW 6TH AVE, TOPEKA, KS 66615-1011
(852) 337-4917
Mailing address
6001 SW 6TH AVE STE 200, TOPEKA, KS 66615-1004
(852) 337-4917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
02/07/2024
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