NPI 1235656323

Glenn Norman Wagner, DO

Practitioner Independent Medical Examiner Physician San Diego, CA

Practice location

Address: 5570 Overland Ave STE 101, San Diego, CA 92123-1215
Phone: (858) 694-2899
Fax: (858) 694-2514

Registered specialties

Independent Medical Examiner Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202C00000X Licence 20A4111 (CA)

Other Independent Medical Examiner providers in California →

Registry record

NPI: 1235656323
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2017
Record last updated: 21 Jul 2022

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.