NPI 1134235385

Marie Brown-Wagner, MD

Practitioner Plastic Surgery within the Head & Neck (Otolaryngology) Physician Shiprock, NM

Practice location

Address: US Hwy 491 North, Shiprock, NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Mailing address: PO Box 160, Shiprock, NM 87420-0160

Registered specialties (2)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 50773 (CO)

Other Otolaryngology providers in New Mexico →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 131753-2 (NY)

Registry record

NPI: 1134235385
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2006
Record last updated: 2 Feb 2012

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.