JOHN A WAGONER

WAGONER MEDICAL GROUP PC

Dr JOHN A WAGONER is a male medical professional, specializing in Internal Medicine. He graduated in 1978 from University Of Nebraska College Of Medicine.

Contact

WAGONER MEDICAL GROUP PC

800 N ALPHA ST
GRAND ISLAND
NE
688034320

Tel: 3083822010

JOHN A WAGONER Information

Npi 1114974284
Pac Id 5890883268
Professional Enrollment Id I20071119000288
Last Name WAGONER
First Name JOHN
Middle Name A
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 1978
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WAGONER MEDICAL GROUP PC
Group Practice Pac Id 0941398515
Number Of Group Practice Members 4
Line 1 Street Address 800 N ALPHA ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRAND ISLAND
State NE
Zip Code 688034320
Phone Number 3083822010
Hospital Affiliation Ccn 1 280023
Hospital Affiliation Lbn 1 CHI HEALTH ST. FRANCIS
Hospital Affiliation Ccn 2 280013
Hospital Affiliation Lbn 2 THE NEBRASKA MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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