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Jonathan Wagley

NPI 1487029674 · on the registry since 2015

Practice

Address
10820 Coldwater Rd
Fort Wayne, IN 46845
Phone
(260) 755-1438
Fax
(260) 755-1566
Clinicians at this address
8

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Male
Record last updated
2015-12-14

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 Indiana