Individual provider · Type 1 NPI

Delaney Aliece Wagener, MD (MAY 2020)

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1245867399 Active

Practice location

6040 University Town Centre Dr
Morgantown, WV 26501-2421

Call (304) 598-4835 Map

Fax (304) 285-7388

Mailing address

7439 Harwood Ave Ste 108
Wauwatosa, WI 53213-2665

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245867399

Delaney Aliece Wagener, MD (MAY 2020)'s National Provider Identifier is 1245867399, issued on Mar 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Mar 26, 2020.