Individual provider · Type 1 NPI

Karl Gordon Wagner Jr., PA-C

Physician Assistant · Southfield, MI

NPI number 1720179500 Active

Practice location

22255 Greenfield Rd, Suite 422
Southfield, MI 48075-3710

Call (248) 849-3195 Map

Fax (248) 849-3390

Mailing address

57813 Cider Mill Dr
New Hudson, MI 48165-9482

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601001954 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

46 other providers at this address

Other physician assistant providers in Southfield

See all in Southfield →

About NPI 1720179500

Karl Gordon Wagner Jr., PA-C's National Provider Identifier is 1720179500, issued on Sep 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southfield, MI. The record was last updated on Dec 30, 2009.