RICHARD WAGNER JR., DO

Psychiatry & Neurology - Psychiatry

Active Individual
NPI: 1639794589

Practice Address

5515 PEACH ST
Erie, PA 16509

Phone: (814) 864-4031

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No OT020105 (PA)
Psychiatry & Neurology - Psychiatry 2084P0800X Yes OS022870 (PA)

Frequently Asked Questions

NPI 1639794589 is the National Provider Identifier for RICHARD WAGNER JR., DO, a Psychiatry & Neurology - Psychiatry provider located in Erie, PA. This NPI was enumerated on June 16, 2020.
RICHARD WAGNER JR., DO practices at 5515 PEACH ST, Erie, PA 16509.

Quick Facts

NPI
1639794589
Type
Individual
Enumerated
Jun 16, 2020
Last Updated
Sep 14, 2023

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