Brian Eugene Wagers M.D.

NPI 1083821029 - Pediatrics - 208000000X

NPI Details
NPI 1083821029
Gender Male
Enumeration Date 05/17/2007
Last Updated 02/26/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
705 RILEY HOSPITAL DR
INDIANAPOLIS IN, 46202-5109, US
Phone (317) 944-3936
Fax (317) 948-5844
Business Location
250 N SHADELAND AVE
SUITE 130, PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Ohio
License Number 35.093321
Remove 1083821029 NPI Number
 

According to our database, Brian Eugene Wagers M.D. NPI is 1083821029, taxonomy code is 208000000X and license number is 35.093321, license state is located at Ohio. Brian Eugene Wagers M.D. physically located at 705 Riley Hospital Dr, Indianapolis IN, 46202-5109. NPI Number Brian Eugene Wagers M.D. has the Individual type.

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1083821029 NPI number is provided on an as is basis without warranty of any kind. 1083821029 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Eugene Wagers M.D. are for informational purposes only.