TIMOTHY WAGNER

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1164201646

Practice Address

200 LAKEFRONT BLVD
Buffalo, NY 14202

Phone: (716) 383-4245

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1164201646 is the National Provider Identifier for TIMOTHY WAGNER, a Student in an Organized Health Care Education/Training Program provider located in Buffalo, NY. This NPI was enumerated on September 25, 2023.
TIMOTHY WAGNER practices at 200 LAKEFRONT BLVD, Buffalo, NY 14202.

Quick Facts

NPI
1164201646
Type
Individual
Enumerated
Sep 25, 2023
Last Updated
Sep 25, 2023

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