Wagner, Bradford S.

Wagner, Bradford S. is an individual health care provider with primary practice located at 50 Foden Rd Ste 3 , South Portland ME 04106-1718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wagner, Bradford S. can be contacted via phone (207) 874-1489.

Contact Information

Primary practice address
50 Foden Rd Ste 3 South Portland ME 04106-1718
Phone: (207) 874-1489
Fax: (207) 523-8590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19486 Maine
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD19486 Maine

Profile Details

NPI number 1083848030
LBN Legal business name Wagner, Bradford S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2009
Last updated Feb 14th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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