Individual
DAVID GARRETT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, BOX 626, ROCHESTER, NY 14642
(585) 273-4580
Mailing address
983135 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3135
(404) 559-6018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25484
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2006
Last updated
02/07/2024
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