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Mark Wagner
NPI 1265863112 · on the registry since 2013 · sole proprietor
Practice
- Address
- 24 Old Plantation Way
Pikesville, MD 21208 - Phone
- (410) 653-6886
- Fax
- (410) 653-6986
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-03
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 Maryland