MR. KARL GORDON JR. WAGNER (PA-C) – Physician Assistant, NPI 1720179500
Physician Assistant
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Provider Addresses for MR. KARL GORDON JR. WAGNER (PA-C)
Cider Mill Drive, Orchards of Lyon, New Hudson, Lyon Charter Township, Oakland County, Michigan, 48165, United States
NEW HUDSON, MI 481659482
Phone: (248) 486-4364
Type: Mailing
22255, Greenfield Road, Southfield, Oakland County, Michigan, 48075, United States
SUITE 422
SOUTHFIELD, MI 480753710
Phone: (248) 849-3195
Fax: (248) 849-3390
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48165)
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