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Jon-erik Wagner, MD
Student in an Organized Health Care Education/Training Program in Johnson City, New York
NPI 1619303104

Jon-erik Wagner is a Student in an Organized Health Care Education/Training Program based in Johnson City, NY. Jon-erik Wagner practices in Johnson City, NY and has the professional credentials of MD. The NPI Number for Jon-erik Wagner is 1619303104 and holds a License No. (New York).

The current practice location address for Jon-erik Wagner is 40 Arch St, Johnson City, NY and can be reached out via phone at 607-763-6075 and via fax at 607-763-5234.

Location: 40 Arch St, Johnson City, NY, 13790-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619303104
Provider Name
Jon-erik Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
40 Arch St, Johnson City, NY, 13790-2580
Phone Number
607-763-6075
Fax Number
607-763-5234
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Arch St
City
Johnson City
State
New York
Zip
13790-2102
Phone Number
607-763-6075
Fax Number
607-763-5234
person
Provider Business Mailing Address Details
Address
40 Arch St
City
Johnson City
State
New York
Zip
13790-2102
Phone Number
607-763-6075
Fax Number
607-763-5234
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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