JOHN R WAGNER M.D. NPI 1396737086

NPI Information

  • NPI: 1396737086
  • Provider Name: JOHN R WAGNER, M.D.
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • Address: 11012 E 13 MILE RD
    SUITE 112
    WARREN, MI
    ZIP 48093
  • Phone: (586) 573-6880

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NPI Details

John R Wagner, M.D. is a hand surgery orthopaedic surgery in Warren, MI. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. John R Wagner, M.D. NPI is 1396737086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11012 E 13 MILE RD
SUITE 112
WARREN, MI
ZIP 48093-572
Phone: (586) 573-6880
Fax: (586) 573-2562

The enumeration date for this NPI number is 8/18/2005 and was last updated on 11/29/2010.

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
1207XS0106XOrthopaedic SurgeryHand Surgery4301061192MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1JW061192OTHERMICHIGANBCBS PIN #
20E06376009MEDICARE PINMICHIGAN
3G84788MEDICARE UPIN
44124122MEDICAIDMICHIGAN

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: 3/30/2025

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