Individual provider · Type 1 NPI

Jaime Stephan Wagner, DO

Vascular & Interventional Radiology Physician · Greensboro, NC

NPI number 1306021704 Active

Practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Call (336) 274-9617 Map

Fax (336) 482-2177

Mailing address

PO Box 63112
Charlotte, NC 28263-3112

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X162768 (OR)
Diagnostic Radiology Physician 2085R0202X2012-00139 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204X2012-00139 (NC)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1306021704

Jaime Stephan Wagner, DO's National Provider Identifier is 1306021704, issued on Jan 3, 2008. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Greensboro, NC. The record was last updated on Mar 10, 2023.