Ernestine A Wagner in Stevens Point - Medical

Ernestine A Wagner - NPI 1124072889

Ernestine A Wagner is a Medical in Stevens Point, Wisconsin. Ernestine A Wagner practices all healthcare services and medical treatments related to Medical. The NPI Number for Ernestine A Wagner is 1124072889. The last update date is 2015-06-02.

Ernestine A Wagner's current location address is 2417 Post Road Building A, Stevens Point, Wisconsin. You can contact this provider via phone number 7156901272 and fax number 7155441212. The mailing address for Ernestine A Wagner is 2417 Post Road Building A, Stevens Point, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Ernestine A Wagner
Address 2417 Post Road Building A, Stevens Point, Wisconsin
Phone Number 7156901272
Fax Number 7155441212
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1124072889
Provider Enumeration Date 2006-05-19
Last Updated Date 2015-06-02

Provider Mailing Address Detail

Address 2417 Post Road Building A
City Stevens Point
State Wisconsin (WI)
Post Code 54481
Phone Number 7156901272
Fax Number 7155441212

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1289-23
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1836169 WV BLUE CROSS BLUE SHIELD
3001613 WV BRICKSTREET
10319951 VA --

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FAQs about Ernestine A Wagner

What is the unique identifier code issued to Ernestine A Wagner by the Centers for Medicare & Medicaid Services?

The Ernestine A Wagner has been assigned the NPI (National Provider Identifier) 1124072889. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ernestine A Wagner is physically located?

The Ernestine A Wagner is situated at the following address: 2417 Post Road Building A, Stevens Point, WI 54481.

Could you please share the complete physical location address where Ernestine A Wagner's facilities are situated?

The facilities of Ernestine A Wagner are physically located at the following address: 2417 Post Road Building A, Stevens Point, WI, 54481.

What is Ernestine A Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ernestine A Wagner's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

What is Ernestine A Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ernestine A Wagner is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.

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