Individual provider · Type 1 NPI

John R. Wagner Jr., MD

Orthopaedic Hand Surgery Physician · Warren, MI

NPI number 1396737086 Active

Practice location

11012 E 13 Mile Rd, Suite 112
Warren, MI 48093-2572

Call (586) 573-6880 Map

Fax (586) 573-2562

Mailing address

29900 Lorraine Ave, Suite 400
Warren, MI 48093-5266

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Hand Surgery Physician Primary 207XS0106X4301061192 (MI)

Orthopaedic Hand Surgery Physician: An orthopaedic 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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About NPI 1396737086

John R. Wagner Jr., MD's National Provider Identifier is 1396737086, issued on Aug 18, 2005. The primary taxonomy on file is Orthopaedic Hand Surgery Physician (207XS0106X), and the practice location is in Warren, MI. The record was last updated on Nov 29, 2010.