Individual provider · Type 1 NPI

Maxwell Solomon Wagner, MD

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1376171306 Active

Practice location

825 Fairfax Ave Ste 610
Norfolk, VA 23507-1914

Call (757) 446-8950 Map

Mailing address

720 Redgate Ave Apt 6
Norfolk, VA 23507-1629

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 1376171306

Maxwell Solomon Wagner, MD's National Provider Identifier is 1376171306, issued on Mar 27, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Mar 27, 2020.