Search › New Mexico › 207RP1001X
Michael Wagner, MD
NPI 1043217797 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1010 Spruce St 3rd Fl Area 5
Espanola, NM 87532 - Phone
- (505) 367-0340
- Fax
- (505) 747-2025
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207Q00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico