Individual
DR. WAGNER GILBERT SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
251 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-0425
(704) 861-0274
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802C
BCBS
NC
01
—
108614
WELLNESS
—
01
—
2211451
AETNA
—
01
—
23301
WELLPATH
—
01
—
27715
MAMSI
—
01
—
32654
PARTNERS
—
01
—
561552247004
PRUDENTIAL
—
01
—
7094015
AETNA
—
01
—
9673684
CIGNA
—
01
—
9673684002
CIGNA
—
05
—
PDN999
—
SC
Enumeration date
09/12/2005
Last updated
11/07/2025
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