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

Q: What is the provider's specialty?

The provider's specialty is Orthopaedic Surgery with taxonomy code 207XS0106X and a focus in Hand Surgery.

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: July 19, 2026.

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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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