Wagner, Todd Emmit
Wagner, Todd Emmit is an individual health care provider with primary practice located at 21100 Southgate Park Blvd , Maple Heights OH 44137-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, Todd Emmit can be contacted via phone (216) 663-6100.Contact Information
Primary practice address
21100 Southgate Park Blvd
Maple Heights OH 44137-3004
Phone: (216) 663-6100
Fax: (216) 395-1071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.099746 | Ohio |
Profile Details
| NPI number | 1063674299 |
|---|---|
| LBN Legal business name | Wagner, Todd Emmit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2008 |
| Last updated | Dec 7th, 2018 - about 7 years ago |
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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