Karl Gordon Wagner in Southfield - Physician Assistant
Karl Gordon Wagner - NPI 1720179500
Karl Gordon Wagner is a Physician Assistant in Southfield, Michigan. Karl Gordon Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Karl Gordon Wagner is 1720179500. The last update date is 2009-12-30.
Karl Gordon Wagner's current location address is 22255 Greenfield Rd, Southfield, Michigan. You can contact this provider via phone number 2488493195 and fax number 2488493390. The mailing address for Karl Gordon Wagner is 22255 Greenfield Rd, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Karl Gordon Wagner |
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Address | 22255 Greenfield Rd, Southfield, Michigan |
Phone Number | 2488493195 |
Fax Number | 2488493390 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1720179500 |
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Provider Enumeration Date | 2006-09-27 |
Last Updated Date | 2009-12-30 |
Provider Mailing Address Detail
Address | 22255 Greenfield Rd |
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City | Southfield |
State | Michigan (MI) |
Post Code | 480753710 |
Phone Number | 2488493195 |
Fax Number | 2488493390 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601001954 |
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 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Karl Gordon Wagner by the Centers for Medicare & Medicaid Services?
The Karl Gordon Wagner has been issued the NPI (National Provider Identifier) 1720179500, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Karl Gordon Wagner is physically located?
The Karl Gordon Wagner is physically situated at the following address: 22255 Greenfield Rd, Southfield, MI, 480753710.
When did the Karl Gordon Wagner receive its 1720179500?
The Karl Gordon Wagner was issued its 1720179500 on 2006-09-27, which is the date when the organization was assigned this unique identifier.
As of what date were the Karl Gordon Wagner's details last updated?
The information pertaining to the Karl Gordon Wagner, including its address, specialty, and other details, was most recently updated on 2009-12-30.
As of what date were the details related to Karl Gordon Wagner most recently updated or revised?
The information pertaining to Karl Gordon Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-30.