Search › California › 202C00000X
Glenn Wagner, DO
NPI 1235656323 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5570 Overland Ave Ste 101
San Diego, CA 92123 - Phone
- (858) 694-2899
- Fax
- (858) 694-2514
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 202C00000X
202C00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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 California