MR. ROBERT BRUCE WAGNER L.P.C.
NPI 1477608107
Counselor - Professional in Niles, MI

Active since January 24, 2007
333 N 2ND ST, SUITE 305, NILES, MI 49120(269) 449-8951 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Robert Bruce Wagner L.p.c. NPPES

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

MR. ROBERT BRUCE WAGNER L.P.C. (NPI 1477608107) is an individual professional provider in Niles, Michigan, licensed in Michigan (6401000453) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1477608107
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ROBERT BRUCE WAGNERCredential: L.P.C.
Location Address333 N 2ND ST, SUITE 305Niles, MI 49120-2258
Mailing Address333 N 2nd St, Suite 305Niles, MI 49120-2258 · (269) 449-8951
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1477608107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401000453
333 N 2ND ST, Niles, MI 49120

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Physical Therapy)
333 N 2ND ST, SUITE 308
NILES, MI 49120
Social Worker (Clinical)
333 N 2ND ST, SUITE 303
NILES, MI 49120
Psychologist (Clinical)
333 N 2ND ST, SUITE # 304
NILES, MI 49120

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 Robert Wagner's NPI number?

The NPI number for Robert Wagner is 1477608107. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Robert Wagner located?

Robert Wagner practices at 333 N 2nd St Suite 305, Niles, MI 49120. The listed phone number is (269) 449-8951.

What is Robert Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Robert Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.