DR. GLENN NORMAN WAGNER DO NPI 1235656323

NPI Information

NPI: 1235656323
Provider Name: DR. GLENN NORMAN WAGNER, DO
Classification: Independent Medical Examiner - 202C00000X
Entity Type: Individual
Address:
5570 OVERLAND AVE STE 101
SAN DIEGO, CA
ZIP 92123
Phone: (858) 694-2899
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DR. Glenn Norman Wagner, DO is an independent medical examiner in San Diego, CA. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. DR. Glenn Norman Wagner, DO NPI is 1235656323. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5570 OVERLAND AVE STE 101
SAN DIEGO, CA
ZIP 92123-215
Phone: (858) 694-2899
Fax: (858) 694-2514

The enumeration date for this NPI number is 8/29/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	202C00000X	Independent Medical Examiner		20A4111	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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