Individual provider · Type 1 NPI

Jeanne Wagoner

Specialist · Cleveland Heights, OH

NPI number 1760880314 Active

Practice location

2400 Roxboro Rd
Cleveland Heights, OH 44106-3624

Call (216) 320-3136 Map

Mailing address

17556 Fairlawn Dr
Chagrin Falls, OH 44023-6419

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X34778885 (OH)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760880314

Jeanne Wagoner's National Provider Identifier is 1760880314, issued on Dec 15, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cleveland Heights, OH. The record was last updated on Dec 15, 2014.