Andrew Stephen Wagner
Family Doctor Family Doctor - Hospice and Palliative Medicine
819 Longwood Ln
Sebastopol
, California 95472-2734
Andrew Stephen Wagner
Family Doctor Family Doctor - Hospice and Palliative Medicine
819 Longwood Ln
Sebastopol
, California 95472-2734
(707) 823-3516
Write a Review Share Save Call
About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Andrew Stephen Wagner
- 819 Longwood Ln
- Sebastopol, CA
- Zip : 95472-2734
- Fax : (707) 823-3516
- Phone : (707) 823-3456
Second Address
- Andrew Stephen Wagner
- 819 Longwood Ln
- Sebastopol, CA
- Zip : 95472-2734
- Fax : (707) 823-3516
- Phone : (707) 823-3456
Reviews
FAQs
Where did Andrew Stephen Wagner attend graduate school?
Where did Andrew Stephen Wagner do his residency?
Where did Andrew Stephen Wagner do his fellowship?
Is Andrew Stephen Wagner board certified?
What type of doctor is Andrew Stephen Wagner
In what state does Andrew Stephen Wagner practice in?
Where is Andrew Stephen Wagner ’s practice located?
What is Andrew Stephen Wagner ’s gender?
Is Andrew Stephen Wagner a sole practitioner?
Is Andrew Stephen Wagner accepting new patients?
What languages does Andrew Stephen Wagner speak?
Does Andrew Stephen Wagner accept insurance?
Does Andrew Stephen Wagner offers telemedicine?
What is Andrew Stephen Wagner ’s professional license number?
What is Andrew Stephen Wagner ’s NPI number?
Does Andrew Stephen Wagner have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | G50907 | CA |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | G50907 | CA |
National Provider Identifier
| NPI | 1285722819 |
|---|---|
| Provider Name | Andrew Stephen Wagner |
| First Address | Sebastopol, CA 95472-2734 |
| Second Address | Sebastopol, CA 95472-2734 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 09/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F12593 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.