John R Wagner JR., MD - Warren, MI

John R Wagner JR., MD

Orthopedic Hand Surgery Physician in Warren, Michigan

NPI 1396737086

John R Wagner JR. is a Orthopedic Hand Surgery Physician based in Warren, MI and is specialized in Hand Surgery. John R Wagner JR. practices in Warren, MI and has the professional credentials of MD. The NPI Number for John R Wagner JR. is 1396737086 and holds a License No. 4301061192 (Michigan).

The current practice location address for John R Wagner JR. is 11012 E 13 Mile Rd, Warren, MI and can be reached out via phone at 586-573-6880 and via fax at 586-573-2562.

Location: 11012 E 13 Mile Rd, Warren, MI, 48093-5266

NPI Number

1396737086

Provider Name

John R Wagner JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

11012 E 13 Mile Rd, Warren, MI, 48093-5266

Phone Number

586-573-6880

Fax Number

586-573-2562

Provider Enumeration Date

08/18/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
4124122	05	MI
JW061192	01	MI	BCBS PIN #

Address

11012 E 13 Mile Rd

City

Warren

State

Michigan

Zip

48093-2572

Phone Number

586-573-6880

Fax Number

586-573-2562

Address

11012 E 13 Mile Rd

City

Warren

State

Michigan

Zip

48093-2572

Phone Number

586-573-6880

Fax Number

586-573-2562

Type

Allopathic & Osteopathic Physicians

Classification

Orthopedic Surgery

Speciality

Hand Surgery

Taxonomy

207XS0106X

License No.

4301061192 (Michigan)

Definition

An orthopedic 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.

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