Wagner, James W.
Wagner, James W. is an individual health care provider with primary practice located at 1 Hurley Plz 7B West Bldg, Flint MI 48503-5902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Wagner, James W. can be contacted via phone (810) 262-9355.Contact Information
Primary practice address
1 Hurley Plz 7B West Bldg
Flint MI 48503-5902
Phone: (810) 262-9355
Fax: (810) 760-9954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 4301054569 | Michigan |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 4301054569 | Michigan |
Profile Details
| NPI number | 1841221660 |
|---|---|
| LBN Legal business name | Wagner, James W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | May 24th, 2023 - about 3 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 | 1841221660 | NPPES |
| Michigan | Other | 0B56029 | BLUE SHIELD OF MI |
| Michigan | MEDICAID | 4511761 | BLUE SHIELD OF MI |
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