Wagner, Peter

Wagner, Peter is an individual health care provider with primary practice located at 350 Heritage Way Suite 1100, Kalispell MT 59901-3158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wagner, Peter can be contacted via phone (406) 752-8900.

Contact Information

Primary practice address
350 Heritage Way Suite 1100 Kalispell MT 59901-3158
Phone: (406) 752-8900
Fax: (406) 752-8909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X PENDING Colorado
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 12637 Montana

Profile Details

NPI number 1245440841
LBN Legal business name Wagner, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Nov 27th, 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 1245440841 NPPES
Colorado MEDICAID 04208790

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