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

DR. ETHAN E WAGNER, DO

Active

DR. ETHAN E WAGNER, DO is a Emergency Medicine healthcare provider located in ANDERSON, Indiana. NPI 1386643310 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · ANDERSON, IN

Registration Details

NPI Number
1386643310
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2005 (21.048619777513 yrs)
Last Updated
Oct 10, 2007
License
02002898A (IN)

Practice Information

Address
2015 JACKSON ST
ANDERSON, IN, 460164337
Browse IN providers · Browse ZIP 46016
Phone
7656468439
Fax
7656468578
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in ANDERSON, IN

Name Credential NPI
DR. TERRY KYLE MD 1407851330
DR. LEONARD BIELSKI MD 1952306839
DR. DANIEL CECIL MD 1871598763
DR. PHILIP PINEGAR MD 1992700827
DR. EDWARD IRICK MD 1649275553
DR. DAVID H SOPER MD 1114922929
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.