Organization · Type 2 NPI

Jeffrey D. Wagner, Md, PC

Medical Specialty Clinic/Center · Indianapolis, IN

NPI number 1609079607 Active

Practice location

8040 Clearvista Pkwy Ste 570
Indianapolis, IN 46256-4673

Fax (317) 621-2580

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Another provider at this address

Stacie WenckNurse Practitioner Indianapolis, IN NPI 1548417322

Other medical specialty clinic/center providers in Indianapolis

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NPI record

NPI: 1609079607
Entity type: Organization (Type 2)
Issued: Jun 7, 2007
Last updated: Nov 2, 2021
Status: Active

Other names

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Wagner and Associates · doing business as
Wagner and Associates · doing business as

Authorized official

Dr. Jeffrey D. Wagner, MD
President
(317) 621-2520

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609079607

Jeffrey D. Wagner, Md, PC's National Provider Identifier is 1609079607, issued on Jun 7, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 2, 2021.