VITAS WAGNER, MD
Colon & Rectal Surgery
Active
Individual
NPI: 1982115358
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | No | MD61176219 (WA) |
| Colon & Rectal Surgery | 208C00000X | Yes | MD61176219 (WA) |
Frequently Asked Questions
NPI 1982115358 is the National Provider Identifier for VITAS WAGNER, MD, a Colon & Rectal Surgery provider located in Tacoma, WA. This NPI was enumerated on October 12, 2017.
VITAS WAGNER, MD practices at 1708 YAKIMA AVE STE 105, Tacoma, WA 98405.
Quick Facts
- NPI
- 1982115358
- Type
- Individual
- Enumerated
- Oct 12, 2017
- Last Updated
- Oct 3, 2025
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