John R Wagner is a Hand Surgery in Warren, Michigan. John R Wagner practices all healthcare services and medical treatments related to Hand Surgery. The NPI Number for John R Wagner is 1396737086. The last update date is 2010-11-29.
John R Wagner's current location address is 29900 Lorraine Ave, Warren, Michigan. You can contact this provider via phone number 5865820864 and fax number 5865820964. The mailing address for John R Wagner is 29900 Lorraine Ave, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Wagner |
|---|---|
| Address | 29900 Lorraine Ave, Warren, Michigan |
| Phone Number | 5865820864 |
| Fax Number | 5865820964 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396737086 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2010-11-29 |
Provider Mailing Address Detail
| Address | 29900 Lorraine Ave |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480935266 |
| Phone Number | 5865820864 |
| Fax Number | 5865820964 |
Provider's Primary Taxonomy Detail
| Speciality | Hand Surgery |
|---|---|
| Taxonomy | 207Xs0106X |
| Licence No | 4301061192 |
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Definition: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4124122 | MI | -- | |
| JW061192 | MI | BCBS PIN # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John R Wagner by the Centers for Medicare & Medicaid Services?
The John R Wagner has been issued the NPI (National Provider Identifier) 1396737086 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John R Wagner?
The John R Wagner is physically situated at 29900 Lorraine Ave, in the city of Warren, state of MI, with the postal code 480935266.
What is the John R Wagner's area of specialization and corresponding taxonomy classification?
The John R Wagner's specialty field is Hand Surgery, and it falls under the taxonomy code 207Xs0106X, which categorizes healthcare providers based on their specialties.
When was the John R Wagner's 1396737086 issued?
The John R Wagner's 1396737086 was issued on 2005-08-18.
When was the information regarding John R Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John R Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-29.