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Terry John Wagner, DO
Family Medicine Physician in Hudson, Ohio
NPI 1679574834

Terry John Wagner is a Family Medicine Physician based in Hudson, OH. Terry John Wagner practices in Hudson, OH and has the professional credentials of DO. The NPI Number for Terry John Wagner is 1679574834 and holds a License No. 34006428 (Ohio).

The current practice location address for Terry John Wagner is 5655 Hudson Dr Ste 303, Hudson, OH and can be reached out via phone at 330-800-4800 and via fax at 330-653-3007.

Location: 5655 Hudson Dr Ste 303, Hudson, OH, 44236-4454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679574834
Provider Name
Terry John Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5655 Hudson Dr Ste 303, Hudson, OH, 44236-4454
Phone Number
330-800-4800
Fax Number
330-653-3007
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0801451153 01 OH RAILROAD MEDICARE
2041543 05 OH
institution
Provider Business Practice Location Address Details
Address
5655 Hudson Dr Ste 303
City
Hudson
State
Ohio
Zip
44236-4454
Phone Number
330-800-4800
Fax Number
330-653-3007
person
Provider Business Mailing Address Details
Address
5655 Hudson Dr Ste 303
City
Hudson
State
Ohio
Zip
44236-4454
Phone Number
330-800-4800
Fax Number
330-653-3007
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34006428 (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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