Dr BRANT M WAGENER is a male medical professional, specializing in Anesthesiology. He graduated in 2009 from University Of New Mexico School Of Medicine.
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC
619 19TH ST S
BIRMINGHAM
AL
352331999
Tel: 2059346405
| Npi | 1356584189 |
| Pac Id | 3072759679 |
| Professional Enrollment Id | I20130827000911 |
| Last Name | WAGENER |
| First Name | BRANT |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ANESTHESIOLOGY |
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| Organization Legal Name | UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC |
| Group Practice Pac Id | 1951213107 |
| Number Of Group Practice Members | 1779 |
| Line 1 Street Address | 619 19TH ST S |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 352331999 |
| Phone Number | 2059346405 |
| Hospital Affiliation Ccn 1 | 010033 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF ALABAMA HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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