Jaime Stephan Wagner, D.O. Valid NPI

Individual provider · Vascular & Interventional Radiology Physician · Greensboro, NC

NPI

1306021704

Type

Individual (Type 1)

Primary specialty

Vascular & Interventional Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0204X

License number

2012-00139 (NC)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-01-03

Last updated

2023-03-10