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Alan Wagner
NPI 1811597792 · on the registry since 2020 · sole proprietor
Practice
- Address
- 795 S Township Road 113
Tiffin, OH 44883 - Phone
- (419) 987-4440
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 253Z00000X
347C00000X
3747P1801X
385H00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-29
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