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Nicholas Wagner
NPI 1073151387 · on the registry since 2019
Practice
- Address
- 358 Lagoon Lane
Silverthorne, CO 80498 - Phone
- (218) 443-3560
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado