NPI Details | |
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NPI | 1194958637 |
Gender | Female |
Enumeration Date | 09/01/2009 |
Last Updated | 11/10/2009 |
Entity Type | Individual |
Active | Over 8 years ago |
Practice Location | |
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3717 TAYLORSVILLE RD LOUISVILLE KY, 40220-1333, US |
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Phone | (502) 589-8600 |
Fax | (502) 589-8771 |
Business Location | |
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101 W MUHAMMAD ALI BLVD LOUISVILLE KY, 40202-1423, US |
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Phone | |
Fax |
Toxanomy | |
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Taxonomy Code | 171M00000X |
License State | |
License Number | |
Remove 1194958637 NPI Number |
According to our database, Dana Wagner NPI is 1194958637, taxonomy code is 171M00000X Dana Wagner physically located at 3717 Taylorsville Rd, Louisville KY, 40220-1333. NPI Number Dana Wagner has the Individual type.
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1194958637 NPI number is provided on an as is basis without warranty of any kind. 1194958637 is maintained by the National Plan & Provider Enumeration System. The contents of Dana Wagner are for informational purposes only.
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