Active NPIIndividual provider

Michael Wagner, MD

Internal Medicine in Medford, Massachusetts

NPI Number1437199437
Practice location
170 Governors Ave, Medford, MA 02155-1643
Fax
—
Last updated
July 13, 2026

Michael Wagner is an Internal Medicine based in Medford, MA. Michael Wagner practices in Medford, MA and has the professional credentials of MD. The NPI Number for Michael Wagner is 1437199437 and holds a License No. 72830 (MA). The current practice location address for Michael Wagner is 170 Governors Ave, Medford, MA 02155-1643 and can be reached out via phone at 508-486-5678.

Provider Profile Details

NPI Number
1437199437
Provider Name
Michael Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
170 Governors Ave, Medford, MA 02155-1643
Phone Number
508-486-5678
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Governors Ave
Medford, MA 02155-1643
Zip
02155-1643
Phone Number
508-486-5678
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
13 Old Landing RD
Pembroke, MA 02359-1948
City
Pembroke
State
MA
Zip
02359-1948
Phone Number
214-712-2000

License Information

License Number
72830
License State
MA
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Wagner, MD?

The NPI number of Michael Wagner, MD is 1437199437. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael Wagner, MD?

Michael Wagner, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 72830.

Where does Michael Wagner, MD practice?

The practice location is 170 Governors Ave, Medford, MA 02155-1643. The office can be reached at 508-486-5678 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437199437 directly on the NPPES registry website.

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