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Next Update: Friday, April 19, 2024 12:00 PM CDT

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WAGNER, MICHAEL DONALD
Practice Address: BREVARD ANESTHESIA
MELBOURNE FL 32904

Address last updated on 8/10/2008
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 23008
Dated: 9/15/2003
Expires: 9/1/2009
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2002
CME Year: 2009
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
BREVARD ANESTHESIA
MELBOURNE FL 32904

Phone #:
Fax #:
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