DR. JOHN WAGONER, M.D.
Internal Medicine
Active
Individual
NPI: 1114974284
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 14621 (NE) |
Frequently Asked Questions
NPI 1114974284 is the National Provider Identifier for DR. JOHN WAGONER, M.D., a Internal Medicine provider located in Grand Island, NE. This NPI was enumerated on May 27, 2006.
DR. JOHN WAGONER, M.D. practices at 800 N ALPHA ST, Grand Island, NE 68803.
Quick Facts
- NPI
- 1114974284
- Type
- Individual
- Enumerated
- May 27, 2006
- Last Updated
- Feb 15, 2008
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