Wagner, William Frederick

Wagner, William Frederick is an individual health care provider with primary practice located at 8300 Constitution Ave Ne Suite 1106 , Albuquerque NM 87110-7624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wagner, William Frederick can be contacted via phone (505) 291-2770.

Contact Information

Primary practice address
8300 Constitution Ave Ne Suite 1106 Albuquerque NM 87110-7624
Fax: (505) 291-2707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 51715 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 40658 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G0247 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2003-00422 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD36735 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2002-0462 New Mexico

Profile Details

NPI number 1871528455
LBN Legal business name Wagner, William Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 31st, 2022 - about 3 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 1871528455 NPPES
New Mexico MEDICAID 94173028

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