| Gregory S Wagner, CRNA | |
|
610 W George Ct, Paw Paw, MI 49079-1000 | |
| (734) 241-3891 | |
| (734) 241-0014 |
| Full Name | Gregory S Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 610 W George Ct, Paw Paw, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649259011 | NPI | - | NPPES |
| 5308758220 | Other | MI | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704123173 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory S Wagner, CRNA 5623 E Dunbar Rd, Monroe, MI 48161-9127 Ph: (734) 241-3891 | Gregory S Wagner, CRNA 610 W George Ct, Paw Paw, MI 49079-1000 Ph: (734) 241-3891 |
Mr. Bryan Shawn Parks, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 408 Hazen St, Paw Paw, MI 49079 Phone: 269-657-3141 | |
Steven Clingerman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 610 W George Ct, Paw Paw, MI 49079 Phone: 734-241-3891 Fax: 734-241-0014 | |
John F Boothby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 408 Hazen St, Paw Paw, MI 49079 Phone: 269-657-1325 Fax: 269-657-1419 |