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Thomas Daniel Wagner, MD
Student in an Organized Health Care Education/Training Program in Stanford, California
NPI 1992492516

Thomas Daniel Wagner is a Student in an Organized Health Care Education/Training Program based in Stanford, CA. Thomas Daniel Wagner practices in Stanford, CA and has the professional credentials of MD. The NPI Number for Thomas Daniel Wagner is 1992492516 and holds a License No. (California).

The current practice location address for Thomas Daniel Wagner is 300 Pasteur Dr, Stanford, CA and can be reached out via phone at 650-723-5948.

Location: 300 Pasteur Dr, Stanford, CA, 94305-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992492516
Provider Name
Thomas Daniel Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Dr, Stanford, CA, 94305-2200
Phone Number
650-723-5948
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-5948
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-5948
Fax Number
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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