Individual
DR. KARL STEVEN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 WALTON BLVD, ROCHESTER HILLS, MI 48309-1858
(248) 652-6640
(248) 652-3914
Mailing address
1500 WALTON BLVD, ROCHESTER HILLS, MI 48309-1858
(248) 652-6640
(248) 652-3914
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4301038400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798911
—
MI
Enumeration date
07/10/2006
Last updated
12/07/2020
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