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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERE L WAGNER, MD

Active

DR. JERE L WAGNER, MD is a Family Medicine healthcare provider located in SHAMOKIN, Pennsylvania. NPI 1730151358 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHAMOKIN, PA

Registration Details

NPI Number
1730151358
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2006 (20.497225035326 yrs)
Last Updated
Jun 23, 2022
Licenses
MD025370-E (PA)
MD025370E (PA)

Practice Information

Address
2 N 8TH ST
SHAMOKIN, PA, 178725607
Browse PA providers · Browse ZIP 17872
Phone
5706441780
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SHAMOKIN, PA

Name Credential NPI
DUANE R. DONMOYER M.D. 1164475745
ROBIN MICHELLE SPANGLER MD 1598940363
DR. PAUL WILLIAM HIXON MD 1710340112
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.