Karl Thomas Wagner JR. MD

NPI 1093716573 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1093716573
Gender Male
Enumeration Date 08/09/2005
Last Updated 09/08/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1824 DORCHESTER CT
SUITE A
GOSHEN IN, 46526-6819, US
Phone (574) 534-2548
Fax (574) 534-3622
Business Location
1824 DORCHESTER CT
SUITE A
GOSHEN IN, 46526-6819, US
Phone (574) 534-2548
Fax (574) 534-3622
Toxanomy
Taxonomy Code 207X00000X
License State Indiana
License Number 01062265A
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According to our database, Dr. Karl Thomas Wagner JR. MD NPI is 1093716573, taxonomy code is 207X00000X and license number is 01062265A, license state is located at Indiana. Karl Thomas Wagner JR. MD physically located at 1824 Dorchester Ct, Goshen IN, 46526-6819. NPI Number Karl Thomas Wagner JR. MD has the Individual type.

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1093716573 NPI number is provided on an as is basis without warranty of any kind. 1093716573 is maintained by the National Plan & Provider Enumeration System. The contents of Karl Thomas Wagner JR. MD are for informational purposes only.