Brown-Wagner, Marie

Brown-Wagner, Marie is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is her primary health care specialty. Brown-Wagner, Marie can be contacted via phone (505) 368-6401.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 131753-2 New York
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 50773 Colorado

Profile Details

NPI number 1134235385
LBN Legal business name Brown-Wagner, Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134235385 NPPES
Colorado Other 022392 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 621830 KAISER COMMERCIAL NUMBER
Colorado MEDICAID G7888 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 23083336 KAISER COMMERCIAL NUMBER

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