| NPI Details | |
|---|---|
| NPI | 1194958637 |
| Gender | Female |
| Enumeration Date | 09/01/2009 |
| Last Updated | 11/10/2009 |
| Entity Type | Individual |
| Active | Over 7 years ago |
| Practice Location | |
|---|---|
| 3717 TAYLORSVILLE RD LOUISVILLE KY, 40220-1333, US |
|
| Phone | (502) 589-8600 |
| Fax | (502) 589-8771 |
| Business Location | |
|---|---|
| 101 W MUHAMMAD ALI BLVD LOUISVILLE KY, 40202-1423, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| 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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