-- CHARLES JOHN WAGNER -- MD
Individual Provider (NPI-1)
Active
Allergy & Immunology
Provider Information
- NPI Number
1366540742- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1793 13TH ST SE, SALEM, OR, 973022541
- Phone
- (503) 362-8385
- Fax
- (503) 362-8435
Specialties & Taxonomies
Allergy & Immunology
Primary License: OR #OR14081