Peter Wagner MD

NPI 1245440841 - Internal Medicine - 207RH0003X

NPI Details
NPI 1245440841
Gender Male
Enumeration Date 05/23/2007
Last Updated 11/06/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
350 HERITAGE WAY
SUITE 1100
KALISPELL MT, 59901-3158, US
Phone (406) 752-8900
Fax (406) 752-8909
Business Location
350 HERITAGE WAY
SUITE 1100
KALISPELL MT, 59901-3158, US
Phone (406) 752-8900
Fax (406) 752-8909
Toxanomy
Taxonomy Code 207RH0003X
License State Colorado
License Number PENDING
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According to our database, Peter Wagner MD NPI is 1245440841, taxonomy code is 207RH0003X and license number is PENDING, license state is located at Colorado. Peter Wagner MD physically located at 350 Heritage Way, Kalispell MT, 59901-3158. NPI Number Peter Wagner MD has the Individual type.

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1245440841 NPI number is provided on an as is basis without warranty of any kind. 1245440841 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Wagner MD are for informational purposes only.