DR. GLENN NORMAN WAGNER DO
NPI 1235656323
Independent Medical Examiner in San Diego, CA
- Individual
- Male
- Independent Medical Examiner
About GLENN WAGNER
This page provides the complete NPI Profile along with additional information for Glenn Wagner, a provider established in San Diego, California with a medical specialization in Independent Medical Examiner. The healthcare provider is registered in the NPI registry with number 1235656323 assigned on August 2017. The practitioner's primary taxonomy code is 202C00000X with license number 20A4111 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1235656323 Verify this NPI
- Provider Name
- DR. GLENN NORMAN WAGNER DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5570 OVERLAND AVE STE 101 SAN DIEGO, CA 92123
- Location Phone
- (858) 694-2899
- Location Fax
- (858) 694-2514
- Mailing Address
- 5570 OVERLAND AVE STE 101 SAN DIEGO, CA 92123
- Mailing Phone
- (858) 694-2899
- Mailing Fax
- (858) 694-2514
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-29-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Independent Medical Examiner
- Taxonomy Code
- 202C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20A4111
- License State
- CA
- Taxonomy Description
- A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235656323, enumerated as an "individual" on August 29, 2017.
The provider is located at 5570 OVERLAND AVE STE 101 SAN DIEGO, CA 92123 and the phone number is (858) 694-2899.
Independent Medical Examiner with taxonomy code 202C00000X.
