NPI 1003272253

Jamie Dee Wagner

Practitioner Specialist Akron, OH

Practice location

Address: 89 Westgay Dr APT B, Akron, OH 44313-7364
Phone: (330) 347-3287

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 33.021987 (OH)

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Registry record

NPI: 1003272253
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2016
Record last updated: 4 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.