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Paul A Wagner, DO
Family Medicine Physician in Hart, Michigan
NPI 1962434043

Paul A Wagner is a Family Medicine Physician based in Hart, MI. Paul A Wagner practices in Hart, MI and has the professional credentials of DO. The NPI Number for Paul A Wagner is 1962434043 and holds a License No. PW011554 (Michigan).

The current practice location address for Paul A Wagner is 611 East Main St, Hart, MI and can be reached out via phone at 231-873-5675 and via fax at 231-873-1825.

Location: 611 East Main St, Hart, MI, 49420-1190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962434043
Provider Name
Paul A Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
611 East Main St, Hart, MI, 49420-1190
Phone Number
231-873-5675
Fax Number
231-873-1825
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3015197 05 MI
3015197 TYPE 11 05 MI
080058226 01 MI MEDICARE RAILROAD
010F476090 01 MI BCBS
0F40011 01 MI BCBSMI
5641515 01 MI BCBS PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
611 East Main St
City
Hart
State
Michigan
Zip
49420-1190
Phone Number
231-873-5675
Fax Number
231-873-1825
person
Provider Business Mailing Address Details
Address
611 East Main St
City
Hart
State
Michigan
Zip
49420-1190
Phone Number
231-873-5675
Fax Number
231-873-1825
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
PW011554 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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