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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1841221660 NPPES
Michigan Other 0B56029 BLUE SHIELD OF MI
Michigan MEDICAID 4511761 BLUE SHIELD OF MI

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