person
Mark Andrew Wagner, MD
Diagnostic Radiology Physician in Merced, California
NPI 1336130087

Mark Andrew Wagner is a Diagnostic Radiology Physician based in Modesto, CA and is specialized in Diagnostic Radiology. Mark Andrew Wagner practices in Merced, CA and has the professional credentials of MD. The NPI Number for Mark Andrew Wagner is 1336130087 and holds a License No. 20A5259 (California).

The current practice location address for Mark Andrew Wagner is 2740 M St, Merced, CA and can be reached out via phone at 209-342-2300 and via fax at 209-524-4240.

Location: 2740 M St, Merced, CA, 95356-9262
person
Provider Profile Details
NPI Number
1336130087
Provider Name
Mark Andrew Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2740 M St, Merced, CA, 95356-9262
Phone Number
209-342-2300
Fax Number
209-524-4240
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00AX52590 05 CA
020A52590 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2740 M St
City
State
Zip
95340-2813
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider Business Mailing Address Details
Address
2740 M St
City
State
Zip
95340-2813
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
20A5259 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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