Virginia Wagner in Milwaukee - Physician Assistant
Virginia Wagner - NPI 1124074315
Virginia Wagner is a Physician Assistant in Milwaukee, Wisconsin. Virginia Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Virginia Wagner is 1124074315. The last update date is 2014-10-06.
Virginia Wagner's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142662625 and fax number 4142662635. The mailing address for Virginia Wagner is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Virginia Wagner |
|---|---|
| Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142662625 |
| Fax Number | 4142662635 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1124074315 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2014-10-06 |
Provider Mailing Address Detail
| Address | 9000 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532264874 |
| Phone Number | 4142662625 |
| Fax Number | 4142662635 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 238-023 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124074315 | WI | -- | |
| 009006261D | HUMANA |
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What is the unique 10-digit identifier code issued to Virginia Wagner by the Centers for Medicare & Medicaid Services?
The Virginia Wagner has been assigned the NPI (National Provider Identifier) 1124074315 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Virginia Wagner located?
The Virginia Wagner is located at 9000 W Wisconsin Ave, Milwaukee, WI 532264874.
What is the Virginia Wagner's specialty and taxonomy code?
The Virginia Wagner's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Virginia Wagner receive its 1124074315 assignment from the Centers for Medicare & Medicaid Services?
The Virginia Wagner was assigned its 1124074315 by the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the information regarding Virginia Wagner most recently updated?
The details pertaining to the Virginia Wagner, including its address, specialty, and other relevant information, were last refreshed on 2014-10-06.