THEODORE WAGNER III, MD

Urology

Active Individual
NPI: 1831162791

Practice Address

11141 PARKVIEW PLAZA DR STE 325
Fort Wayne, IN 46845

Phone: (260) 425-5400

Specialties

Specialty Code Primary License
Urology 208800000X Yes 01050471A (IN)

Frequently Asked Questions

NPI 1831162791 is the National Provider Identifier for THEODORE WAGNER III, MD, a Urology provider located in Fort Wayne, IN. This NPI was enumerated on February 10, 2006.
THEODORE WAGNER III, MD practices at 11141 PARKVIEW PLAZA DR STE 325, Fort Wayne, IN 46845.

Quick Facts

NPI
1831162791
Type
Individual
Enumerated
Feb 10, 2006
Last Updated
Mar 21, 2023

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