John P Wagner, DO
Family Medicine in Stow, OH. Individual provider (NPI-1).
NPI number1104869080
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1104869080
- Entity type
- Individual (NPI-1)
- Name
- John P Wagner
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2006
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 34004138 | OH | Yes |
Practice location
4465 Darrow RdStow, OH 44224-1884
Phone 330-688-9918 · Fax 330-688-4718
Mailing address
4465 Darrow RdStow, OH 44224-1884
Phone 330-688-9918 · Fax 330-688-4718
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All 16 Family Medicine Physician providers in Stow · All 810 providers in Stow
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