person
Dietrich B Wagner
Student in an Organized Health Care Education/Training Program in Cedar Falls, Iowa
NPI 1083392419

Dietrich B Wagner is a Student in an Organized Health Care Education/Training Program based in Cedar Falls, IA. Dietrich B Wagner practices in Cedar Falls, IA. The NPI Number for Dietrich B Wagner is 1083392419 and holds a License No. (Iowa).

The current practice location address for Dietrich B Wagner is 1505 Springbrook Dr, Cedar Falls, IA and can be reached out via phone at 515-664-0171.

Location: 1505 Springbrook Dr, Cedar Falls, IA, 50613-4994
person
Provider Profile Details
NPI Number
1083392419
Provider Name
Dietrich B Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1505 Springbrook Dr, Cedar Falls, IA, 50613-4994
Phone Number
515-664-0171
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1505 Springbrook Dr
City
State
Zip
50613-4994
Phone Number
515-664-0171
Fax Number
person
Provider Business Mailing Address Details
Address
1505 Springbrook Dr
City
State
Zip
50613-4994
Phone Number
515-664-0171
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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