person
Dr. Shannon Michele Wagner, MD
Student in an Organized Health Care Education/Training Program in Miami, Florida
NPI 1346985876

Shannon Michele Wagner is a Student in an Organized Health Care Education/Training Program based in Miami, FL. Shannon Michele Wagner practices in Miami, FL and has the professional credentials of MD. The NPI Number for Shannon Michele Wagner is 1346985876 and holds a License No. (Florida).

The current practice location address for Shannon Michele Wagner is 1611 Nw 12Th Ave, Miami, FL and can be reached out via phone at 305-585-1280 and via fax at 305-585-6043.

Location: 1611 Nw 12Th Ave, Miami, FL, 33136-1005
person
Provider Profile Details
NPI Number
1346985876
Provider Name
Shannon Michele Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1611 Nw 12Th Ave, Miami, FL, 33136-1005
Phone Number
305-585-1280
Fax Number
305-585-6043
Provider Enumeration Date
04/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12Th Ave
City
State
Zip
33136-1005
Phone Number
305-585-1280
Fax Number
305-585-6043
person
Provider Business Mailing Address Details
Address
1611 Nw 12Th Ave
City
State
Zip
33136-1005
Phone Number
305-585-1280
Fax Number
305-585-6043
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Florida)
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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