Search › Ohio › 376J00000X
Shawn Wagner
NPI 1124621560 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8115 Windy Ln Nw
Massillon, OH 44646 - Phone
- (330) 806-4112
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio