Chad Martin Wagner in Madison - Sports Medicine
Chad Martin Wagner - NPI 1568599173
Chad Martin Wagner is a Sports Medicine in Madison, Wisconsin. Chad Martin Wagner practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Chad Martin Wagner is 1568599173. The last update date is 2023-09-12.
Chad Martin Wagner's current location address is 333 E Campus Mall Rm 5131, Madison, Wisconsin. You can contact this provider via phone number 6082654904. The mailing address for Chad Martin Wagner is 333 E Campus Mall Rm 5131, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Martin Wagner |
|---|---|
| Address | 333 E Campus Mall Rm 5131, Madison, Wisconsin |
| Phone Number | 6082654904 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568599173 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2023-09-12 |
Provider Mailing Address Detail
| Address | 333 E Campus Mall Rm 5131 |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537151365 |
| Phone Number | 6082654904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 64986 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 128548427B | GA | -- | |
| 128548427D | GA | -- | |
| 128548427A | GA | -- | |
| 128548427C | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Chad Martin Wagner by the Centers for Medicare & Medicaid Services?
The Chad Martin Wagner has been issued the NPI (National Provider Identifier) 1568599173. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Chad Martin Wagner?
The Chad Martin Wagner is situated at 333 E Campus Mall Rm 5131, in the city of Madison, state of WI, with the zip code 537151365.
What is the area of specialization for Chad Martin Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chad Martin Wagner is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
On what date did Chad Martin Wagner receive its 1568599173 assignment from the Centers for Medicare & Medicaid Services?
The Chad Martin Wagner was assigned its 1568599173 on 2007-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Chad Martin Wagner most recently updated or revised?
The details related to Chad Martin Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2023-09-12.