Most Relevant Information
Provider Data
| NPI Number: | 1003272253 |
| Provider Name: | JAMIE DEE WAGNER |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 33.021987 |
Most Important Dates
| Enumeration Date: | 01/04/2016 |
| Last Updated: | 01/04/2016 |
Provider Practice Location
89 WESTGAY DR APT B
AKRON
OH
443137364
Practice Location Phone/Fax
| Phone: | 3303473287 |
| Fax: |
Provider Mailing Location
89 WESTGAY DR APT B
AKRON
OH
443137364
Provider Mailing Phone/Fax
| Phone: | 3303473287 |
| Fax: |