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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN WAGNER, M.D.

Active Sole Proprietor

JOHN WAGNER, M.D. is a Psychiatric Neurology healthcare provider located in SHREVEPORT, Louisiana. NPI 1033320577 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · SHREVEPORT, LA

Registration Details

NPI Number
1033320577
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2007 (19.240179713401 yrs)
Last Updated
May 22, 2019
License
MD.201230 (LA)
Sole Proprietor
Yes

Practice Information

Address
7330 FERN AVE STE 704
SHREVEPORT, LA, 711054985
Browse LA providers · Browse ZIP 71105
Phone
3187988261
Fax
3167988263
Primary Specialty
Psychiatric Neurology
2084P0804X

Other Psychiatric Neurology Providers in SHREVEPORT, LA

Name Credential NPI
DR. PAMELA MCPHERSON MD 1194761163
MCLEOD GWYNETTE MD 1750477881
MANISH SARAN M.D. 1821208224
DR. KATHERINE ELISE SMITH MD 1497998835
MRS. SADAF JAVAID M.D 1487880407
HANNAH KATHRYN SCOTT MD 1780028613
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.