Search › Washington › 207XS0117X
Theodore Wagner, MD
NPI 1811077894 · on the registry since 2006
Practice
- Address
- Uwmc-Roosevelt
4245 Roosevelt Way Ne
Seattle, WA 98105 - Phone
- (206) 598-4288
- Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 207XS0117X
207XS0117X
- Also registered as
- 207X00000X
207XP3100X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington