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Timothy Michael Wagner
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1164201646

Timothy Michael Wagner is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Timothy Michael Wagner practices in Buffalo, NY. The NPI Number for Timothy Michael Wagner is 1164201646 and holds a License No. (New York).

The current practice location address for Timothy Michael Wagner is 200 Lakefront Blvd, Buffalo, NY and can be reached out via phone at 716-383-4245.

Location: 200 Lakefront Blvd, Buffalo, NY, 14202-4355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164201646
Provider Name
Timothy Michael Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Lakefront Blvd, Buffalo, NY, 14202-4355
Phone Number
716-383-4245
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Lakefront Blvd
City
Buffalo
State
New York
Zip
14202-4355
Phone Number
716-383-4245
Fax Number
person
Provider Business Mailing Address Details
Address
200 Lakefront Blvd
City
Buffalo
State
New York
Zip
14202-4355
Phone Number
716-383-4245
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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