Individual
DR. FRANKLIN C. WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL PLAZA DR, SUITE 255, ROSEVILLE, CA 95661-3043
(916) 773-8700
(916) 773-8701
Mailing address
44777 S EL MACERO DR, EL MACERO, CA 95618-1035
(916) 773-8700
(916) 773-8701
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C40471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C40471
MEDICAL LICENSE
—
Enumeration date
11/15/2006
Last updated
07/08/2007
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