Individual
DR. WAINWRIGHT ANTHONY JAGGERNAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 MEDICAL CENTER PKWY, MAUMEE, OH 43537-1921
(419) 794-7720
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
002001
NY
2085R0001X
Radiation Oncology Physician
Primary
35.093044
OH
2085R0001X
Radiation Oncology Physician
4301093974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02460520
—
NY
01
—
1689670580
MI MEDICAID-OH LOCATIONS
MI
05
—
1689670580
—
MI
05
—
2949920
—
OH
01
—
P00746491
RR MEDICARE
OH
Enumeration date
06/24/2005
Last updated
01/22/2026
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