Theodore T Wagner III is a Urology Physician based in Fort Wayne, IN. Theodore T Wagner III practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Theodore T Wagner III is 1831162791 and holds a License No. 01050471A (Indiana).
The current practice location address for Theodore T Wagner III is 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN and can be reached out via phone at 260-425-5400 and via fax at 260-425-5417.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100081380 | 05 | IN | |
| 0748972 | 05 | OH | |
| 000000087512 | 01 | IN | ANTHEM BC/BS |
| 200245650 | 05 | IN | |
| 2568556 | 05 | OH |
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