Michel Randolph P Wagner in Monroeville - Surgical Critical Care
Michel Randolph P Wagner - NPI 1447200647
Michel Randolph P Wagner is a Surgical Critical Care in Monroeville, Pennsylvania. Michel Randolph P Wagner practices all healthcare services and medical treatments related to Surgical Critical Care. 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 | Surgical Critical Care |
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Taxonomy | 2086S0102X |
Licence No | MD066014L |
Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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 Surgical Critical Care, and the taxonomy code that classifies this field of practice is 2086S0102X.
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.