Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN JOHN WAGSTAFF, D.P.M.
Active Sole ProprietorDR. STEPHEN JOHN WAGSTAFF, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in GREENBRAE, California. NPI 1831196849 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · GREENBRAE, CA
Registration Details
- NPI Number
- 1831196849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2005 (21.135639146519 yrs)
- Last Updated
- Feb 18, 2022
- Licenses
-
E4439 (CA)E4439 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1321 SOUTH ELISEO DRIVEGREENBRAE, CA, 94904Browse CA providers · Browse ZIP 94904
- Phone
- 4159251150
- Fax
- 4159251154
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in GREENBRAE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARION GARRETT PARKE | DPM | 1164777298 |
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.