Wagner, Michael V.

Wagner, Michael V. is an individual health care provider with primary practice located at 1000 Trancas St , Napa CA 94558-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wagner, Michael V. can be contacted via phone (707) 252-4411.

Contact Information

Primary practice address
1000 Trancas St Napa CA 94558-2906
Phone: (707) 252-4411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G52985 California

Profile Details

NPI number 1013095900
LBN Legal business name Wagner, Michael V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 11th, 2021 - about 5 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 1013095900 NPPES
California MEDICAID 00G529850

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