Individual provider · Type 1 NPI

Theodore T. Wagner Iii, MD

Urology Physician · Lafayette, IN

NPI number 1831162791 Active

Practice location

3920 St Francis Way Ste 105
Lafayette, IN 47905-4917

Call (765) 502-4000 Map

Fax (765) 502-4709

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Other practice locations

  • 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845-1714 · (260) 425-5400

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X01050471A (IN)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4 other providers at this address

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About NPI 1831162791

Theodore T. Wagner Iii, MD's National Provider Identifier is 1831162791, issued on Feb 10, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Lafayette, IN. The record was last updated on Mar 24, 2026.