Wagner, Karl Steven
Wagner, Karl Steven is an sole proprietor health care provider with primary practice located at 1500 Walton Blvd , Rochester Hills MI 48309-1858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Wagner, Karl Steven can be contacted via phone (248) 652-6640.Contact Information
Primary practice address
1500 Walton Blvd
Rochester Hills MI 48309-1858
Phone: (248) 652-6640
Fax: (248) 652-3914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 4301038400 | Michigan |
Profile Details
| NPI number | 1538193131 |
|---|---|
| LBN Legal business name | Wagner, Karl Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 7th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538193131 | NPPES |
| Michigan | MEDICAID | 1798911 |
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