MR. JACOB NORMAN WAGNER
NPI 1194176784
Technician, Other in Redford, MI

Q: What is Jacob Wagner's NPI number?

The NPI number for Jacob Wagner is 1194176784. It was assigned to this individual provider in the NPPES registry on June 25, 2016.

Q: What is Jacob Wagner's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Wagner was last updated on June 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2016

17293 DELAWARE AVE, REDFORD, MI 48240(313) 948-7199 Get Directions Write a Review

NPPES record last updated: June 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jacob Norman Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACOB NORMAN WAGNER (NPI 1194176784) is an individual technician, other provider in Redford, Michigan and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1194176784

Entity TypeIndividualMale

Primary Taxonomy247200000X

Provider Legal NameMR. JACOB NORMAN WAGNER

Location Address17293 DELAWARE AVERedford, MI 48240-2302

Mailing Address17293 Delaware AveRedford, MI 48240-2302 · (313) 948-7199

Phone(313) 948-7199

Sole ProprietorNo

Enumeration DateJune 25, 2016

✔ NPI 1194176784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

17293 DELAWARE AVE, Redford, MI 48240

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Wagner's NPI number?

The NPI number for Jacob Wagner is 1194176784. It was assigned to this individual provider in the NPPES registry on June 25, 2016.

Where is Jacob Wagner located?

Jacob Wagner practices at 17293 Delaware Ave, Redford, MI 48240. The listed phone number is (313) 948-7199.

What is Jacob Wagner's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Jacob Wagner was last updated on June 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.