Ronald Paul Wagner in Jackson - Physician Assistant
Ronald Paul Wagner - NPI 1093892333
Ronald Paul Wagner is a Physician Assistant in Jackson, Michigan. Ronald Paul Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ronald Paul Wagner is 1093892333. The last update date is 2007-07-08.
Ronald Paul Wagner's current location address is 400 Hinckley Blvd, Jackson, Michigan. You can contact this provider via phone number 5177827432 and fax number 5177827483. The mailing address for Ronald Paul Wagner is 400 Hinckley Blvd, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Paul Wagner |
|---|---|
| Address | 400 Hinckley Blvd, Jackson, Michigan |
| Phone Number | 5177827432 |
| Fax Number | 5177827483 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1093892333 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Hinckley Blvd |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492036125 |
| Phone Number | 5177827432 |
| Fax Number | 5177827483 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601001400 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
Can you provide the Ronald Paul Wagner's physical address?
The Ronald Paul Wagner is physically located at 400 Hinckley Blvd, in the city of Jackson, MI, with the postal code 492036125.
Could you please provide the complete street address where Ronald Paul Wagner is physically located?
The Ronald Paul Wagner is physically situated at the following address: 400 Hinckley Blvd, Jackson, MI, 492036125.
What is the Ronald Paul Wagner's area of specialization and corresponding taxonomy classification?
The Ronald Paul Wagner's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Ronald Paul Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ronald Paul Wagner is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Ronald Paul Wagner receive its 1093892333 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Paul Wagner was assigned its 1093892333 by the Centers for Medicare & Medicaid Services on 2006-11-01.