Bruce Dewayne Wagner in Lincoln - Medical
Bruce Dewayne Wagner - NPI 1982704698
Bruce Dewayne Wagner is a Medical in Lincoln, Nebraska. Bruce Dewayne Wagner practices all healthcare services and medical treatments related to Medical. The NPI Number for Bruce Dewayne Wagner is 1982704698. The last update date is 2007-07-08.
Bruce Dewayne Wagner's current location address is 431 Redwood Dr, Lincoln, Nebraska. You can contact this provider via phone number 4024893802 and fax number 4024867900. The mailing address for Bruce Dewayne Wagner is 431 Redwood Dr, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Dewayne Wagner |
|---|---|
| Address | 431 Redwood Dr, Lincoln, Nebraska |
| Phone Number | 4024893802 |
| Fax Number | 4024867900 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1982704698 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 431 Redwood Dr |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685102537 |
| Phone Number | 4024893802 |
| Fax Number | 4024867900 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1201 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Bruce Dewayne Wagner by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Dewayne Wagner has been assigned the NPI (National Provider Identifier) 1982704698. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Bruce Dewayne Wagner is physically located?
The Bruce Dewayne Wagner is situated at the following address: 431 Redwood Dr, Lincoln, NE 685102537.
What is Bruce Dewayne Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Dewayne Wagner's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982704698 to Bruce Dewayne Wagner?
The Centers for Medicare & Medicaid Services assigned the 1982704698 to Bruce Dewayne Wagner on 2006-09-23.
As of what date were the details related to Bruce Dewayne Wagner most recently updated or revised?
The information pertaining to Bruce Dewayne Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.