GARY WAGNER, M.D.
Dermatology
Active
Individual
NPI: 1235160102
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | A24987 (CA) |
Frequently Asked Questions
NPI 1235160102 is the National Provider Identifier for GARY WAGNER, M.D., a Dermatology provider located in Modesto, CA. This NPI was enumerated on July 6, 2006.
GARY WAGNER, M.D. practices at 600 COFFEE RD, Modesto, CA 95355.
Quick Facts
- NPI
- 1235160102
- Type
- Individual
- Enumerated
- Jul 6, 2006
- Last Updated
- Apr 1, 2016
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