person
Dr. John H Wagner III, MD,CMD
General Practice Physician in Cullman, Alabama
NPI 1487634085

John H Wagner III is a General Practice Physician based in Cullman, AL. John H Wagner III practices in Cullman, AL and has the professional credentials of MD,CMD. The NPI Number for John H Wagner III is 1487634085 and holds a License No. 8613 (Alabama).

The current practice location address for John H Wagner III is 401 Arnold St Ne, Cullman, AL and can be reached out via phone at 256-739-9593 and via fax at 256-739-2984.

Location: 401 Arnold St Ne, Cullman, AL, 35056-0339
person
Provider Profile Details
NPI Number
1487634085
Provider Name
John H Wagner III
Credential
MD,CMD
Provider Entity Type
Individual
Gender
Male
Address
401 Arnold St Ne, Cullman, AL, 35056-0339
Phone Number
256-739-9593
Fax Number
256-739-2984
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051551301 01 AL BC/BS OF ALABAMA
009935241 05 AL
010066311 01 AL METRA RAILROAD MEDICARE
51027867 01 AL BC/BS OF ALABAMA
000027867 05 AL
institution
Provider Business Practice Location Address Details
Address
401 Arnold St Ne
City
State
Zip
35055-1968
Phone Number
256-739-9593
Fax Number
256-739-2984
person
Provider Business Mailing Address Details
Address
401 Arnold St Ne
City
State
Zip
35055-1968
Phone Number
256-739-9593
Fax Number
256-739-2984
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
8613 (Alabama)
Definition
Definition to come...
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