Individual
DR. JEFFREY DAVID WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8040 CLEARVISTA PKWY STE 520, INDIANAPOLIS, IN 46256-5604
(317) 621-9470
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01041504A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
01041504
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347810
—
IN
Enumeration date
06/24/2005
Last updated
09/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us