Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DAVID WAGNER, M.D.
ActiveMARK DAVID WAGNER, M.D. is a Sports Medicine healthcare provider located in SEATTLE, Washington. NPI 1649211764 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SEATTLE, WA
Registration Details
- NPI Number
- 1649211764
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.001253368945 yrs)
- Last Updated
- May 7, 2019
- License
-
MD00022633 (WA)
Practice Information
- Address
-
1000 DEXTER AVE N STE 320SEATTLE, WA, 981094878Browse WA providers · Browse ZIP 98109
- Phone
- 2066200333
- Fax
- 2064627520
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in SEATTLE, WA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL SHANE ERICKSON | MD | 1295703221 |
| JUSTIN D ROTHMIER | MD | 1225073398 |
| RYAN C HUDSON | MD | 1912018979 |
| ASHWIN LAXMINARAYANA RAO | — | 1013097096 |
| KIMBERLY G HARMON | — | 1093890899 |
| JOHN WILLIAM O'KANE JR. | — | 1912082736 |
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.