Individual provider · Type 1 NPI
Jeffrey David Wagner, MD
Plastic Surgery Physician · Indianapolis, IN
Practice location
8040 Clearvista Pkwy Ste 520
Indianapolis, IN 46256-5604
Mailing address
6626 E 75th St Ste 500
Indianapolis, IN 46250-2890
Other practice locations
- 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 · (317) 621-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 01041504 (IN) |
| Plastic Surgery Physician Primary | 208200000X | 01041504A (IN) |
Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…
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About NPI 1881690790
Jeffrey David Wagner, MD's National Provider Identifier is 1881690790, issued on Jun 24, 2005. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 1, 2022.