Wagner, Vitas Erik
Wagner, Vitas Erik is an individual health care provider with primary practice located at 1708 Yakima Ave Ste 105 , Tacoma WA 98405-5300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Wagner, Vitas Erik can be contacted via phone (253) 552-1200.Contact Information
Primary practice address
1708 Yakima Ave Ste 105
Tacoma WA 98405-5300
Phone: (253) 552-1200
Fax: (253) 552-1239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61176219 | Washington |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD61176219 | Washington |
Profile Details
| NPI number | 1982115358 |
|---|---|
| LBN Legal business name | Wagner, Vitas Erik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2017 |
| Last updated | Oct 3rd, 2025 - about last year |
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 | 1982115358 | NPPES |
| Washington | MEDICAID | 2189171 |
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