BRADFORD WAGNER, MD
Family Medicine - Sports Medicine
Active
Individual
NPI: 1083848030
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | MD19486 (ME) |
| Family Medicine - Sports Medicine | 207QS0010X | Yes | MD19486 (ME) |
Frequently Asked Questions
NPI 1083848030 is the National Provider Identifier for BRADFORD WAGNER, MD, a Family Medicine - Sports Medicine provider located in South Portland, ME. This NPI was enumerated on May 6, 2009.
BRADFORD WAGNER, MD practices at 50 FODEN RD STE 3, South Portland, ME 04106.
Quick Facts
- NPI
- 1083848030
- Type
- Individual
- Enumerated
- May 6, 2009
- Last Updated
- Feb 14, 2024
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