Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAIME STEPHAN WAGNER, D.O.
Active Sole ProprietorDR. JAIME STEPHAN WAGNER, D.O. is a Therapeutic Radiology healthcare provider located in GREENSBORO, North Carolina. NPI 1306021704 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · GREENSBORO, NC
Registration Details
- NPI Number
- 1306021704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2008 (18.632327752046 yrs)
- Last Updated
- Mar 10, 2023
- Licenses
-
162768 (OR)2012-00139 (NC)2012-00139 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1331 N ELM ST STE 200GREENSBORO, NC, 274016304Browse NC providers · Browse ZIP 27401
- Phone
- 3362749617
- Fax
- 3364822177
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Therapeutic Radiology
Other Therapeutic Radiology Providers in GREENSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| ADAM RYAN HENN | MD | 1275532798 |
| DR. SANJEEV KUMAR DEVESHWAR | MD | 1235129321 |
| DAYNE DANIEL HASSELL | MD | 1770574204 |
| MICHAEL TREVOR SHICK | MD | 1396793386 |
| GLENN TAKESHI YAMAGATA | MD | 1598718066 |
| HEATH KEAY MCCULLOUGH | MD | 1366641243 |
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.