Michael J Wagner
Medical Oncology
825 Eastlake Ave E
Seattle
, Washington 98109-4405
Michael J Wagner
Medical Oncology
825 Eastlake Ave E
Seattle
, Washington 98109-4405
(206) 543-6420
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Michael J Wagner
- Po Box 50095
- Seattle, WA
- Zip : 98145-5095
- Phone : (206) 543-6420
Second Address
- Michael J Wagner
- 825 Eastlake Ave E
- Seattle, WA
- Zip : 98109-4405
- Phone : (206) 520-5000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | MD60759395 | WA |
National Provider Identifier
| NPI | 1023317898 |
|---|---|
| Provider Name | Michael J Wagner |
| First Address | Seattle, WA 98145-5095 |
| Second Address | Seattle, WA 98109-4405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2011 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023317898 | (05) | WA |
| 342203201 | (05) | TX |
| G8968128 | MEDICARE PIN (01) | WA |
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.