person
Dr. Jaime Stephan Wagner, DO
Vascular & Interventional Radiology Physician in Greensboro, North Carolina
NPI 1306021704

Jaime Stephan Wagner is a Vascular & Interventional Radiology Physician based in Charlotte, NC and is specialized in Vascular & Interventional Radiology. Jaime Stephan Wagner practices in Greensboro, NC and has the professional credentials of DO. The NPI Number for Jaime Stephan Wagner is 1306021704 and holds a License No. 162768 (North Carolina).

The current practice location address for Jaime Stephan Wagner is 1331 N Elm St Ste 200, Greensboro, NC and can be reached out via phone at 336-274-9617 and via fax at 336-482-2177. You can also correspond with Jaime Stephan Wagner through the mailing address at PO BOX 63112, CHARLOTTE, NC - 28263-3112 (mailing address contact number: 336-274-9617).

Location: 1331 N Elm St Ste 200, Greensboro, NC, 28263-3112
person
Provider Profile Details
NPI Number
1306021704
Provider Name
Jaime Stephan Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1331 N Elm St Ste 200, Greensboro, NC, 28263-3112
Phone Number
336-274-9617
Fax Number
336-482-2177
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1331 N Elm St Ste 200
City
State
Zip
27401-6304
Phone Number
336-274-9617
Fax Number
336-482-2177
person
Provider Business Mailing Address Details
Address
Po Box 63112
City
State
Zip
28263-3112
Phone Number
336-274-9617
Fax Number
336-482-2177
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
2012-00139 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
162768 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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