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Mark T. Wagner, DO
Family Medicine Physician in Portsmouth, Ohio
NPI 1346373446

Mark T. Wagner is a Family Medicine Physician based in Portsmouth, OH. Mark T. Wagner practices in Portsmouth, OH and has the professional credentials of DO. The NPI Number for Mark T. Wagner is 1346373446 and holds a License No. 34003690W (Ohio).

The current practice location address for Mark T. Wagner is 1248 Kinneys Ln, Portsmouth, OH and can be reached out via phone at 740-356-7290 and via fax at 740-356-7938. You can also correspond with Mark T. Wagner through the mailing address at 1735 27TH ST STE B06, PORTSMOUTH, OH - 45662-2681 (mailing address contact number: 740-356-8681).

Location: 1248 Kinneys Ln, Portsmouth, OH, 45662-2681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346373446
Provider Name
Mark T. Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1248 Kinneys Ln, Portsmouth, OH, 45662-2681
Phone Number
740-356-7290
Fax Number
740-356-7938
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0557642 05 OH
institution
Provider Business Practice Location Address Details
Address
1248 Kinneys Ln
City
Portsmouth
State
Ohio
Zip
45662-2994
Phone Number
740-356-7290
Fax Number
740-356-7938
person
Provider Business Mailing Address Details
Address
1735 27Th St Ste B06
City
Portsmouth
State
Ohio
Zip
45662-2681
Phone Number
740-356-8681
Fax Number
740-353-7900
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
34.003690 (Ohio)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34003690W (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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