Marie Brown-Wagner in Shiprock - Plastic Surgery Within The Head & Neck

Marie Brown-Wagner - NPI 1134235385

Marie Brown-Wagner is a Plastic Surgery Within The Head & Neck in Shiprock, New Mexico. Marie Brown-Wagner practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Marie Brown-Wagner is 1134235385. The last update date is 2012-02-02.

Marie Brown-Wagner's current location address is Po Box 160, Shiprock, New Mexico. You can contact this provider via phone number 5053686401 and fax number 5053686431. The mailing address for Marie Brown-Wagner is Po Box 160, Shiprock, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie Brown-Wagner
Address Po Box 160, Shiprock, New Mexico
Phone Number 5053686401
Fax Number 5053686431
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134235385
Provider Enumeration Date 2006-08-21
Last Updated Date 2012-02-02

Provider Mailing Address Detail

Address Po Box 160
City Shiprock
State New Mexico (NM)
Post Code 874200160
Phone Number 5053686401
Fax Number 5053686431

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head & Neck
Taxonomy 207Yx0007X
Licence No 50773
Definition:
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22392 CO KAISER COMMERCIAL NUMBER
621830 AZ --
G7888 NM --
23083336 CO --

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FAQs about Marie Brown-Wagner

What is the unique 10-digit identifier code issued to Marie Brown-Wagner by the Centers for Medicare & Medicaid Services?

The Marie Brown-Wagner has been assigned the NPI (National Provider Identifier) 1134235385 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Marie Brown-Wagner is physically located?

The Marie Brown-Wagner is physically situated at the following address: Po Box 160, Shiprock, NM, 874200160.

What is the Marie Brown-Wagner's specialty and taxonomy code?

The Marie Brown-Wagner's specialty is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code is 207Yx0007X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134235385 to Marie Brown-Wagner?

The Centers for Medicare & Medicaid Services assigned the 1134235385 to Marie Brown-Wagner on 2006-08-21.

When was the information regarding Marie Brown-Wagner most recently updated?

The details pertaining to the Marie Brown-Wagner, including its address, specialty, and other relevant information, were last refreshed on 2012-02-02.

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