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

VITAS ERIK WAGNER, MD

Active

VITAS ERIK WAGNER, MD is a Colon & Rectal Surgery healthcare provider located in TACOMA, Washington. NPI 1982115358 is currently active in the NPPES registry. Verify at CMS.

Colon & Rectal Surgery · TACOMA, WA

Registration Details

NPI Number
1982115358
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2017 (8.8471103081501 yrs)
Last Updated
Oct 3, 2025
Licenses
MD61176219 (WA)
MD61176219 (WA)

Practice Information

Address
1708 YAKIMA AVE STE 105
TACOMA, WA, 984055300
Browse WA providers · Browse ZIP 98405
Phone
2535521200
Fax
2535521239
Primary Specialty
Colon & Rectal Surgery
208C00000X
Additional Specialty
Colon & Rectal Surgery

Other Colon & Rectal Surgery Providers in TACOMA, WA

Name Credential NPI
DR. JOHN MARK MADDOX M.D. 1104801208
DR. SHALINI RAO KANNEGANTI M.D 1639326192
LAILA RASHIDI M.D. 1073839965
SCOTT NGUYEN MD 1982145496
POYA POURGHADERI DO 1306341706
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.