IndividualActive
Mary Wagner, MD
NPI 1770523813 · Pediatric Pulmonology Physician · Gainesville, FL
Provider details
- NPI number
- 1770523813
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME42003 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1600 Sw Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 392-4458
Fax: (352) 392-9802
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 918025
Orlando, FL 32891-8025
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2008-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.