Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE T WAGNER III, MD
ActiveTHEODORE T WAGNER III, MD is a Urology healthcare provider located in FORT WAYNE, Indiana. NPI 1831162791 is currently active in the NPPES registry. Verify at CMS.
Urology · FORT WAYNE, IN
Registration Details
- NPI Number
- 1831162791
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2006 (20.48765127819 yrs)
- Last Updated
- Mar 21, 2023
- License
-
01050471A (IN)
Practice Information
- Address
-
11141 PARKVIEW PLAZA DR STE 325FORT WAYNE, IN, 468451714Browse IN providers · Browse ZIP 46845
- Phone
- 2604255400
- Fax
- 2604255417
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MARK D DABAGIA | MD | 1891795852 |
| DR. ERIC JAMES HICK | D.O. | 1346236353 |
| THOMAS E KOERNER | MD | 1396719811 |
| JOHN B BRINKMAN | MD | 1881668150 |
| THOMAS G NILL | MD | 1407820772 |
| DAVID L POLLIFRONE | MD | 1215901574 |
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.