Jeffrey David Wagner in Indianapolis - Plastic Surgery
Jeffrey David Wagner - NPI 1881690790
Jeffrey David Wagner is a Plastic Surgery in Indianapolis, Indiana. Jeffrey David Wagner practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Jeffrey David Wagner is 1881690790. The last update date is 2022-09-01.
Jeffrey David Wagner's current location address is 8040 Clearvista Pkwy Ste 520, Indianapolis, Indiana. You can contact this provider via phone number 3176219470. The mailing address for Jeffrey David Wagner is 8040 Clearvista Pkwy Ste 520, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey David Wagner |
|---|---|
| Address | 8040 Clearvista Pkwy Ste 520, Indianapolis, Indiana |
| Phone Number | 3176219470 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881690790 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2022-09-01 |
Provider Mailing Address Detail
| Address | 8040 Clearvista Pkwy Ste 520 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 4625656040 |
| Phone Number | 3176219470 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 01041504A |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100347810 | IN | -- |
Post Comment/ Review Below
What is the Jeffrey David Wagner's 1881690790?
The Jeffrey David Wagner's NPI (National Provider Identifier) Number is 1881690790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffrey David Wagner is geographically located?
The Jeffrey David Wagner is physically situated at the following location: 8040 Clearvista Pkwy Ste 520, Indianapolis, IN, 4625656040.
What is the Jeffrey David Wagner's specialty and taxonomy code?
The Jeffrey David Wagner's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881690790 to Jeffrey David Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1881690790 to Jeffrey David Wagner on 2005-06-24.
When was the Jeffrey David Wagner's information last updated?
The Jeffrey David Wagner's information was last updated on 2022-09-01.
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