# DR. WILLIAM FREDERICK WAGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871528455
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 40658 | CO | — |
| 207L00000X | Anesthesiology Physician | 51715 | CA | — |
| 207L00000X | Anesthesiology Physician | G0247 | TX | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 2002-0462 | NM | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 2003-00422 | NC | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD36735 | SC | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 05/31/2022