Individual
DR. CHARLES I WAGNER
Active
Individual
DR. CHARLES I WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD010259E
PW
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046041000
KEYSTONE EAST
PA
05
—
007542510002
—
PW
01
—
0949753
CIGNA
PA
01
—
14617
HEALTH PARTNERS
PW
01
—
P406157
OXFORD
PA
Enumeration date
06/12/2006
Last updated
07/13/2026
Update your record
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