DONNA M BLAIRD WAGNER

MARCELLE A. GRASSI,M.D.P.C.

Dr DONNA M BLAIRD WAGNER is a female medical professional, specializing in Nurse Practitioner. She graduated in 1983.

Contact

MARCELLE A. GRASSI,M.D.P.C.

2560 WALDEN AVE
SUITE 107
CHEEKTOWAGA
NY
142254757

Tel: 7166510726

DONNA M BLAIRD WAGNER Information

Npi 1154304459
Pac Id 9234266834
Professional Enrollment Id I20100429000549
Last Name BLAIRD WAGNER
First Name DONNA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1983
Primary Specialty NURSE PRACTITIONER
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Secondary Specialty 2
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Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MARCELLE A. GRASSI,M.D.P.C.
Group Practice Pac Id 0840396826
Number Of Group Practice Members 2
Line 1 Street Address 2560 WALDEN AVE
Line 2 Street Address SUITE 107
Marker Of Address Line 2 Suppression
City CHEEKTOWAGA
State NY
Zip Code 142254757
Phone Number 7166510726
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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