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Theodore A Wagner, MD
Orthopedic Surgery of the Spine Physician in Seattle, Washington
NPI 1811077894

Theodore A Wagner is a Orthopedic Surgery of the Spine Physician based in Seattle, WA and is specialized in Orthopedic Surgery of the Spine. Theodore A Wagner practices in Seattle, WA and has the professional credentials of MD. The NPI Number for Theodore A Wagner is 1811077894 and holds a License No. MD00011315 (Washington).

The current practice location address for Theodore A Wagner is Uwmc-Roosevelt, Seattle, WA and can be reached out via phone at 206-598-4288. You can also correspond with Theodore A Wagner through the mailing address at PO BOX 50095, SEATTLE, WA - 98145-5095 (mailing address contact number: 206-543-6420).

Location: Uwmc-Roosevelt, Seattle, WA, 98145-5095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811077894
Provider Name
Theodore A Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Uwmc-Roosevelt, Seattle, WA, 98145-5095
Phone Number
206-598-4288
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0232121 01 WA L&I
9054 01 INTERNAL ID-MOTOR VEHICLE ID
1811077894 05 WA
institution
Provider Business Practice Location Address Details
Address
Uwmc-Roosevelt
City
Seattle
State
Washington
Zip
98105-4740
Phone Number
206-598-4288
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 50095
City
Seattle
State
Washington
Zip
98145-5095
Phone Number
206-543-6420
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
MD00011315 (Washington)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Pediatric Orthopedic Surgery
Taxonomy
207XP3100X
License No.
MD00011315 (Washington)
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
MD00011315 (Washington)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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