Whalio Doctors

NPI 1083032858

Graham Edward Wagner, MD

Practitioner Physical Medicine & Rehabilitation Physician Lebanon, NH

Practice location

Address
One Medical Center Dr. Dhmc - Department of Pain Medicine, Lebanon, NH 03756-0001
Phone
(435) 901-4647
Mailing address
PO Box 680464, Park City, UT 84068-0464

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5918808-1205 (UT)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1083032858
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Mar 2014
Record last updated
16 Dec 2021

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.