Sanford E Wagenberg in Warren - Diagnostic Radiology
Sanford E Wagenberg - NPI 1780602136
Sanford E Wagenberg is a Diagnostic Radiology in Warren, Michigan. Sanford E Wagenberg practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Sanford E Wagenberg is 1780602136. The last update date is 2011-12-21.
Sanford E Wagenberg's current location address is 11800 E Twelve Mile Road, Warren, Michigan. You can contact this provider via phone number 5865735060 and fax number 5865735197. The mailing address for Sanford E Wagenberg is 11800 E Twelve Mile Road, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sanford E Wagenberg |
|---|---|
| Address | 11800 E Twelve Mile Road, Warren, Michigan |
| Phone Number | 5865735060 |
| Fax Number | 5865735197 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780602136 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-12-21 |
Provider Mailing Address Detail
| Address | 11800 E Twelve Mile Road |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 48093 |
| Phone Number | 5865735060 |
| Fax Number | 5865735197 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 43784 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1900120 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sanford E Wagenberg by the Centers for Medicare & Medicaid Services?
The Sanford E Wagenberg has been issued the NPI (National Provider Identifier) 1780602136 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Sanford E Wagenberg is physically located?
The Sanford E Wagenberg is situated at the following address: 11800 E Twelve Mile Road, Warren, MI 48093.
What is Sanford E Wagenberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sanford E Wagenberg is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780602136 to Sanford E Wagenberg?
The Sanford E Wagenberg received its 1780602136 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the details related to Sanford E Wagenberg most recently updated or revised?
The information pertaining to Sanford E Wagenberg, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-21.