Individual provider · Type 1 NPI
Benjamin John Wagner, P.A.
Medical Physician Assistant · Amherst, NY
NPI number
1447591565
Active
Practice location
3980 Sheridan Dr
Amherst, NY 14226-1727
Fax (716) 250-2040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 016475 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1447591565
Benjamin John Wagner, P.A.'s National Provider Identifier is 1447591565, issued on Mar 14, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Amherst, NY. The record was last updated on May 3, 2017.