Brook, Michael Wagner

Brook, Michael Wagner is an sole proprietor health care provider with primary practice located at 470 Greenfield Ave Suite 303, Hanford CA 93230-3576. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Brook, Michael Wagner can be contacted via phone (559) 537-0325.

Contact Information

Primary practice address
470 Greenfield Ave Suite 303 Hanford CA 93230-3576
Phone: (559) 537-0325
Fax: (559) 537-0327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G63429 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X G63429 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G63429 California

Profile Details

NPI number 1255361838
LBN Legal business name Brook, Michael Wagner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Aug 6th, 2019 - 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 1255361838 NPPES
California MEDICAID GR0042170

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