Individual
VITAS ERIK WAGNER
Active
Individual
VITAS ERIK WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD61176219
WA
208C00000X
Colon & Rectal Surgery Physician
Primary
MD61176219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189171
—
WA
Enumeration date
10/12/2017
Last updated
10/03/2025
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