K. STEVEN WAGNER MD PLLC NPI 1417108051

NPI Information

NPI: 1417108051
Provider Name: K. STEVEN WAGNER, MD PLLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1500 WALTON BLVD
ROCHESTER HILLS, MI
ZIP 48309
Phone: (248) 652-6640
Get Directions

K. STEVEN WAGNER, MD PLLC is a gynecology obstetrics gynecology in Rochester Hills, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee K. STEVEN WAGNER, MD PLLC NPI is 1417108051. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 WALTON BLVD
ROCHESTER HILLS, MI
ZIP 48309-858
Phone: (248) 652-6640
Fax: (248) 652-3914

The provider's authorized official is Jeanne Graves .
The authorized official title is Office Manager and has the following contact phone number (248) 652-6640.

The enumeration date for this NPI number is 10/1/2008 and was last updated on 12/7/2020.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	KW038400	MICHIGAN	Yes

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
1	4264336	OTHER		AETNA
2	160009538	OTHER		RR MEDICARE
3	1798911	MEDICAID	MICHIGAN
4	160F353410	OTHER		BCBS/BCN
5	E26269	OTHER		HAP

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: 5/5/2024

NPI Synchronization or Removal

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