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Search › Indiana › 207P00000X

Ethan Wagner, DO

NPI 1386643310 · on the registry since 2005

Practice

Address
2015 Jackson St
Anderson, IN 46016
Phone
(765) 646-8439
Fax
(765) 646-8578
Organisation at this address
Ritchison Surgical Llc.
Madison Anesthesia Group
Madison County Imaging Pc
Saint Johns Health System
Saint Johns Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
82

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-10

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 Indiana