Stephen Irwin Wagner
Obstetrician & Gynecologist
401 Oakfield Dr
Brandon
, Florida 33511-5710
Stephen Irwin Wagner
Obstetrician & Gynecologist
401 Oakfield Dr
Brandon
, Florida 33511-5710
(813) 654-1384
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Stephen Irwin Wagner
- 505 Oakfield Dr
- Brandon, FL
- Zip : 33511-5700
- Fax : (813) 654-1384
- Phone : (813) 654-2273
Second Address
- Stephen Irwin Wagner
- 401 Oakfield Dr
- Brandon, FL
- Zip : 33511-5710
- Fax : (813) 654-1384
- Phone : (813) 654-2273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | ME15542 | FL |
National Provider Identifier
| NPI | 1023009461 |
|---|---|
| Provider Name | Stephen Irwin Wagner |
| First Address | Brandon, FL 33511-5700 |
| Second Address | Brandon, FL 33511-5710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2005 |
| Last Update Date | 09/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 057050800 | (05) | FL |
| D55804 | (02) | FL |
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.