Wagner, Andrew Standish
Wagner, Andrew Standish is an individual health care provider with primary practice located at 5400 Mackinaw Rd Suite 6100, Saginaw MI 48604-9515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wagner, Andrew Standish can be contacted via phone (989) 792-3100.Contact Information
Primary practice address
5400 Mackinaw Rd Suite 6100
Saginaw MI 48604-9515
Phone: (989) 792-3100
Fax: (989) 792-9860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301076172 | Michigan |
Profile Details
| NPI number | 1194703793 |
|---|---|
| LBN Legal business name | Wagner, Andrew Standish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194703793 | NPPES |
| Michigan | MEDICAID | 10 4203718 | |
| Michigan | Other | P105248 |
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