Theodore A Wagner
Orthopaedic Surgeon Orthopaedic Spine Surgeon Pediatric Orthopaedic Surgeon
Uwmc-Roosevelt 4245 Roosevelt Way Ne
Seattle
, Washington 98105-4740
Theodore A Wagner
Orthopaedic Surgeon Orthopaedic Spine Surgeon Pediatric Orthopaedic Surgeon
Uwmc-Roosevelt 4245 Roosevelt Way Ne
Seattle
, Washington 98105-4740
(206) 543-6420
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Theodore A Wagner
- Po Box 50095
- Seattle, WA
- Zip : 98145-5095
- Phone : (206) 543-6420
Second Address
- Theodore A Wagner
- Uwmc-Roosevelt 4245 Roosevelt Way Ne
- Seattle, WA
- Zip : 98105-4740
- Phone : (206) 598-4288
Reviews
FAQs
Where did Theodore A Wagner attend graduate school?
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What type of doctor is Theodore A Wagner
In what state does Theodore A Wagner practice in?
Where is Theodore A Wagner ’s practice located?
What is Theodore A Wagner ’s gender?
Is Theodore A Wagner a sole practitioner?
Is Theodore A Wagner accepting new patients?
What languages does Theodore A Wagner speak?
Does Theodore A Wagner accept insurance?
Does Theodore A Wagner offers telemedicine?
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Does Theodore A Wagner have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | MD00011315 | WA |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD00011315 | WA |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | MD00011315 | WA |
National Provider Identifier
| NPI | 1811077894 |
|---|---|
| Provider Name | Theodore A Wagner |
| First Address | Seattle, WA 98145-5095 |
| Second Address | Seattle, WA 98105-4740 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 28/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0232121 | L&I (01) | WA |
| 1811077894 | (05) | WA |
| 9054 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
| A05869 | (02) |
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.