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JOHN R WAGNER JR. M.D.
NPI 1396737086
Orthopaedic Surgery - Hand Surgery in Warren, MI

Active since August 18, 2005
11012 E 13 MILE RD, SUITE 112, WARREN, MI 48093(586) 573-6880(586) 573-2562 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John R Wagner Jr. M.d. NPPES

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

JOHN R WAGNER JR. M.D. (NPI 1396737086) is an individual hand surgery provider in Warren, Michigan, licensed in Michigan (4301061192) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1396737086
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJOHN R WAGNER JR.Credential: M.D.
Location Address11012 E 13 MILE RD, SUITE 112Warren, MI 48093-2572
Mailing Address29900 Lorraine Ave, Suite 400Warren, MI 48093-5266 · (586) 582-0864 · Fax (586) 582-0964
Phone(586) 573-6880
Fax(586) 573-2562
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateNovember 29, 2010
✔ NPI 1396737086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in MI · 4301061192
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
11012 E 13 MILE RD, Warren, MI 48093
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Other Identifiers 4

OtherJW061192MI · Bcbs Pin #
Medicare PIN0E06376009MI
Medicare UPING84788
Medicaid4124122MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE RODZIK
Occupational Therapist
11012 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-8890
MR. CURTIS JOHN BEST
Physical Therapist
11012 E 13 MILE RD, STE 200
WARREN, MI 48093
Macomb County (586) 573-8890
RONALD T ROOK D.O.
Orthopaedic Surgery (Sports Medicine)
11012 E 13 MILE RD, SUITE 201
WARREN, MI 48093
Macomb County (586) 582-0760
PETER M NEFCY M.D., PHD
Radiology (Nuclear Radiology)
11012 E 13 MILE RD, SUITE 111
WARREN, MI 48093
Macomb County (586) 558-8470
ELIZABETH COGSWELL CO
Orthotist
11012 E 13 MILE RD, STE 210
WARREN, MI 48093
Macomb County (586) 573-8890
MRS. LORI ANN SWEENEY O.T.R.
Occupational Therapist
11012 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-8890
MARK A OLSON M.D.
Psychiatry & Neurology (Neurology)
11012 E 13 MILE RD, SUITE 112
WARREN, MI 48093
Macomb County (586) 573-6880
DR. ZENA G YOUSIF MD
Surgery
11012 E 13 MILE RD, SUITE 112
WARREN, MI 48093
Macomb County (586) 573-6880

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 John Wagner's NPI number?

The NPI number for John Wagner is 1396737086. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is John Wagner located?

John Wagner practices at 11012 E 13 Mile Rd Suite 112, Warren, MI 48093. The listed phone number is (586) 573-6880.

What is John Wagner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for John Wagner was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.