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

MICHAEL D WAGNER, MD

Active Sole Proprietor

MICHAEL D WAGNER, MD is a Pulmonary Disease healthcare provider located in ESPANOLA, New Mexico. NPI 1043217797 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · ESPANOLA, NM

Registration Details

NPI Number
1043217797
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2005 (21.093889763466 yrs)
Last Updated
Apr 11, 2024
Licenses
81335 (NM)
81-335 (NM)
Sole Proprietor
Yes

Practice Information

Address
1010 SPRUCE ST 3RD FL AREA 5
ESPANOLA, NM, 875322724
Browse NM providers · Browse ZIP 87532
Phone
5053670340
Fax
5057472025
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in ESPANOLA, NM

Name Credential NPI
SALVADEESWARAN LAKSHMI-NARAYANAN MD 1356470884
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.