Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY WAGNER, M.D.
ActiveGARY WAGNER, M.D. is a Dermatology healthcare provider located in MODESTO, California. NPI 1235160102 is currently active in the NPPES registry. Verify at CMS.
Dermatology · MODESTO, CA
Registration Details
- NPI Number
- 1235160102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (19.923105618302 yrs)
- Last Updated
- Apr 1, 2016
- License
-
A24987 (CA)
Practice Information
- Address
-
600 COFFEE RDMODESTO, CA, 953554201Browse CA providers · Browse ZIP 95355
- Phone
- 2095241211
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CATHERINE A BIREN | M.D. | 1124021035 |
| THOMAS LATHROP HALL | MD | 1770570814 |
| MARCUS GEORGE CONNELLY | MD | 1295703577 |
| THOMAS G SALOPEK | MD | 1114983210 |
| MICHAEL K ZANG | M.D. | 1528026358 |
| MR. BLAKE DANIEL ALEXANDER | M.D. | 1033132170 |
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.