Individual
TIMOTHY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MIDDLE RD, HENRIETTA, NY 14467
(585) 723-7600
(585) 334-6373
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 723-7600
(585) 334-6373
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
298142
NY
Other
Enumeration date
06/13/2013
Last updated
05/11/2021
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