VITAS ERIK WAGNER MD
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1982115358- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1708 YAKIMA AVE STE 105, TACOMA, WA, 984055300
- Phone
- (253) 552-1200
- Fax
- (253) 552-1239
Specialties & Taxonomies
Surgery
License: WA #MD61176219
Colon & Rectal Surgery
Primary License: WA #MD61176219