Theodore T Wagner MD

  • NPI 1831162791
According to our database, the NPI number for Theodore T Wagner MD is 1831162791 and activated since 18 years ago. Theodore T Wagner MD is an individual provider who specializes in Urology, and the primary practice location is 2512 E Dupont Rd, Fort Wayne, IN 46825. You can also contact Theodore T Wagner MD via telephone number is (260) 436-6667. Provider NPI information was last updated on 06/25/2020.

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Overview of Theodore T Wagner MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/10/2006
  • Last updated: 06/25/2020

Primary Scrop of Practice

  • Taxonomy Code: 208800000X
  • Specialty: Urology
  • License Number: 01050471A
  • License State: IN

Provider Mailing Address

  • Address: 3702 New Vision Dr Bldg B
    Fort Wayne, IN 46845
  • Phone: 260-266-6013
  • Fax:

Provider Practice Location

  • Address: 2512 E Dupont Rd
    Ste. 100
    Fort Wayne, IN 46825
  • Phone: 260-436-6667
  • Fax: 260-469-7437

Scope of Practice

  • Taxonomy Code: 208800000X
  • Specialty: Urology
  • License Number: 01050471A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 000000087512
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: ANTHEM BC/BS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Theodore T Wagner MD?
  • A: The npi number for Theodore T Wagner MD is 1831162791.
  • Q: What are Theodore T Wagner MD's specialties?
  • A: Theodore T Wagner MD's specialties are Urology and different specialities.
  • Q: What is the medical license for Theodore T Wagner MD?
  • A: The medical license number for Theodore T Wagner MD is 01050471A and issued in IN in USA.
  • Q: Where is Theodore T Wagner MD practice location?
  • A: Theodore T Wagner MD is practicing at 2512 E Dupont Rd, Fort Wayne, IN 46825.
  • Q: How to contact Theodore T Wagner MD?
  • A: You can contact Theodore T Wagner MD via 260-436-6667.