Wagner, Andrew Stephen

Wagner, Andrew Stephen is an sole proprietor health care provider with primary practice located at 819 Longwood Ln , Sebastopol CA 95472-2734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Wagner, Andrew Stephen can be contacted via phone (707) 823-3456.

Contact Information

Primary practice address
819 Longwood Ln Sebastopol CA 95472-2734
Phone: (707) 823-3456
Fax: (707) 823-3516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G50907 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X G50907 California

Profile Details

NPI number 1285722819
LBN Legal business name Wagner, Andrew Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Sep 9th, 2014 - about 11 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.

Request for update

Popular Providers