Michel Randolph P Wagner in Monroeville - Surgery
Michel Randolph P Wagner - NPI 1447200647
Michel Randolph P Wagner is a Surgery in Monroeville, Pennsylvania. Michel Randolph P Wagner practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michel Randolph P Wagner is 1447200647. The last update date is 2020-10-06.
Michel Randolph P Wagner's current location address is 2580 Haymaker Rd Ste 304, Monroeville, Pennsylvania. You can contact this provider via phone number 4128583070 and fax number 4128583076. The mailing address for Michel Randolph P Wagner is 2580 Haymaker Rd Ste 304, Monroeville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michel Randolph P Wagner |
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Address | 2580 Haymaker Rd Ste 304, Monroeville, Pennsylvania |
Phone Number | 4128583070 |
Fax Number | 4128583076 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1447200647 |
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Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
Address | 2580 Haymaker Rd Ste 304 |
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City | Monroeville |
State | Pennsylvania (PA) |
Post Code | 151463500 |
Phone Number | 4128583070 |
Fax Number | 4128583076 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | MD066014L |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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10614208 | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michel Randolph P Wagner by the Centers for Medicare & Medicaid Services?
The Michel Randolph P Wagner has been assigned the NPI (National Provider Identifier) 1447200647 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 physical location address of Michel Randolph P Wagner?
The Michel Randolph P Wagner is physically situated at 2580 Haymaker Rd Ste 304, in the city of Monroeville, state of PA, with the postal code 151463500.
What is Michel Randolph P Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michel Randolph P Wagner is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date was the 1447200647 assigned to Michel Randolph P Wagner?
The Michel Randolph P Wagner was issued its 1447200647 on 2006-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Michel Randolph P Wagner's information last updated?
The Michel Randolph P Wagner's information was last updated on 2020-10-06.