Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN MICHAEL WAGNER, PHYSICIAN ASSISTANT
ActiveMR. SHAWN MICHAEL WAGNER, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in WINDSOR, North Carolina. NPI 1538127337 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WINDSOR, NC
Registration Details
- NPI Number
- 1538127337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2006 (20.300604848342 yrs)
- Last Updated
- Jul 8, 2007
- License
-
101936 (NC)
Practice Information
- Address
-
1403 S KING STWINDSOR, NC, 279839666Browse NC providers · Browse ZIP 27983
- Phone
- 2527946785
- Fax
- 2527946771
- Primary Specialty
-
Physician Assistant
363A00000X
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.