MICHAEL WAGONER, DO

Family Medicine

Active Individual
NPI: 1902429749

Practice Address

1109 AZURE LN
Celina, TX 75009

Phone: (757) 971-0190

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes T5488 (TX)

Frequently Asked Questions

NPI 1902429749 is the National Provider Identifier for MICHAEL WAGONER, DO, a Family Medicine provider located in Celina, TX. This NPI was enumerated on May 27, 2020.
MICHAEL WAGONER, DO practices at 1109 AZURE LN, Celina, TX 75009.

Quick Facts

NPI
1902429749
Type
Individual
Enumerated
May 27, 2020
Last Updated
Jun 26, 2024

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