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SANFORD E WAGENBERG MD
NPI 1780602136
Radiology - Diagnostic Radiology in Warren, MI

Active since July 17, 2006
11800 E TWELVE MILE ROAD, WARREN, MI 48093(586) 573-5060(586) 573-5197 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanford E Wagenberg Md NPPES

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

SANFORD E WAGENBERG MD (NPI 1780602136) is an individual diagnostic radiology provider in Warren, Michigan, licensed in Michigan (043784) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1780602136
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSANFORD E WAGENBERGCredential: MD
Location Address11800 E TWELVE MILE ROADWarren, MI 48093
Mailing Address11800 E Twelve Mile RoadWarren, MI 48093 · (586) 573-5060 · Fax (586) 573-5197
Phone(586) 573-5060
Fax(586) 573-5197
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 21, 2011
✔ NPI 1780602136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 043784
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
11800 E TWELVE MILE ROAD, Warren, MI 48093
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Other Identifiers 3

Medicaid1900120MI
Medicare ID-Type Unspecified0E07603012MI
Medicare UPINB48267

Other Providers at the Same Location NPPES 7

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

H JAY ZESKIND MD
Radiology (Diagnostic Radiology)
11800 E TWELVE MILE ROAD
WARREN, MI 48093
Macomb County (586) 573-5060
DIAGNOSTIC RADIOLOGY CONSULTANTS PC
Radiology (Diagnostic Radiology)
11800 E TWELVE MILE ROAD, ST JOHN MACOMB HOSPITAL
WARREN, MI 48093
Macomb County (586) 573-5060
DANIEL H MACEK MD
Radiology (Diagnostic Radiology)
11800 E TWELVE MILE ROAD
WARREN, MI 48093
Macomb County (586) 573-5060
ADAM J FRANK MD
Radiology (Diagnostic Radiology)
11800 E TWELVE MILE ROAD, ST JOHN MACOMB HOSPITAL
WARREN, MI 48093
Macomb County (586) 573-5060
MICHAEL G EDWARDS MD
Radiology (Diagnostic Radiology)
11800 E TWELVE MILE ROAD
WARREN, MI 48093
Macomb County (586) 573-5060
ZENON M ZAREWYCH MD
Radiology (Diagnostic Radiology)
11800 E TWELVE MILE ROAD
WARREN, MI 48093
Macomb County (586) 573-5060
DAVID G FRY MD
Radiology (Diagnostic Radiology)
11800 E TWELVE MILE ROAD
WARREN, MI 48093
Macomb County (586) 573-5060

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 Sanford Wagenberg's NPI number?

The NPI number for Sanford Wagenberg is 1780602136. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sanford Wagenberg located?

Sanford Wagenberg practices at 11800 E Twelve Mile Road, Warren, MI 48093. The listed phone number is (586) 573-5060.

What is Sanford Wagenberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Sanford Wagenberg was last updated on December 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.