Andrew Stephen Wagner in Sebastopol - Hospice And Palliative Medicine
Andrew Stephen Wagner - NPI 1285722819
Andrew Stephen Wagner is a Hospice And Palliative Medicine in Sebastopol, California. Andrew Stephen Wagner practices all healthcare services and medical treatments related to Hospice And Palliative Medicine. The NPI Number for Andrew Stephen Wagner is 1285722819. The last update date is 2014-09-09.
Andrew Stephen Wagner's current location address is 819 Longwood Ln, Sebastopol, California. You can contact this provider via phone number 7078233456 and fax number 7078233516. The mailing address for Andrew Stephen Wagner is 819 Longwood Ln, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Stephen Wagner |
|---|---|
| Address | 819 Longwood Ln, Sebastopol, California |
| Phone Number | 7078233456 |
| Fax Number | 7078233516 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285722819 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2014-09-09 |
Provider Mailing Address Detail
| Address | 819 Longwood Ln |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 954722734 |
| Phone Number | 7078233456 |
| Fax Number | 7078233516 |
Provider's Primary Taxonomy Detail
| Speciality | Hospice And Palliative Medicine |
|---|---|
| Taxonomy | 207Qh0002X |
| Licence No | G50907 |
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Definition: A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quali |
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What is the unique 10-digit identification code issued to Andrew Stephen Wagner by the Centers for Medicare & Medicaid Services?
The Andrew Stephen Wagner has been assigned the NPI (National Provider Identifier) 1285722819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Andrew Stephen Wagner is physically located?
The Andrew Stephen Wagner is physically situated at the following address: 819 Longwood Ln, Sebastopol, CA, 954722734.
What is the Andrew Stephen Wagner's area of specialization and corresponding taxonomy classification?
The Andrew Stephen Wagner's specialty field is Hospice And Palliative Medicine, and it falls under the taxonomy code 207Qh0002X, which categorizes healthcare providers based on their specialties.
On what date did the Andrew Stephen Wagner receive the assignment of its 1285722819 from the Centers for Medicare & Medicaid Services?
The Andrew Stephen Wagner was issued its 1285722819 by the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date was the information regarding Andrew Stephen Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andrew Stephen Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC