Jennifer L Wagner AU.D.

NPI 1679767396 - Audiologist - 231H00000X

NPI Details
NPI 1679767396
Gender Female
Enumeration Date 09/06/2007
Last Updated 12/14/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
4716 ILLINOIS RD
SUITE 102
FORT WAYNE IN, 46804-5122, US
Phone (260) 436-6400
Fax (260) 435-1595
Business Location
4716 ILLINOIS RD STE 102
FORT WAYNE IN, 46804-5123, US
Phone (260) 436-6400
Fax (260) 435-1595
Toxanomy
Taxonomy Code 231H00000X
License State Indiana
License Number 23002421A
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According to our database, Dr. Jennifer L Wagner AU.D. NPI is 1679767396, taxonomy code is 231H00000X and license number is 23002421A, license state is located at Indiana. Jennifer L Wagner AU.D. physically located at 4716 Illinois Rd, Fort Wayne IN, 46804-5122. NPI Number Jennifer L Wagner AU.D. has the Individual type.

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1679767396 NPI number is provided on an as is basis without warranty of any kind. 1679767396 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer L Wagner AU.D. are for informational purposes only.