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DYLAN WAGNER, PA

PA

Medical Physician Assistant

NPI: 1992058556IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

00172(MS)

CMS Specialties

Education

OTHER

Class of 2012

Contact & Hours

Address
2313 HIGHWAY 15 N
LAUREL, MS 39440

Quick Facts

NPI
1992058556
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
14

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