National Provider Identifier
Frederick L Wagner, PA
Frederick L Wagner, PA is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician in Batavia, NY and a listed phone number of (585) 343-9676.
Profile Overview
- NPI
- 1437126984
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Enumeration Date
- March 03, 2006
- Last Updated
- July 08, 2007
Practice Location
- 33 Chandler Ave
- Batavia, NY 14020-1611
Phone: (585) 343-9676
Specialties
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
Full Record
- NPI
- 1437126984
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Frederick
- Middle Name
- L
- Credential
- PA
- Mailing Street Address
- 33 Chandler Ave
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-1611
- Mailing Country
- US
- Mailing Phone
- (585) 343-9676
- Mailing Fax
- (585) 343-1047
- Practice Street Address
- 33 Chandler Ave
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1611
- Practice Country
- US
- Practice Phone
- (585) 343-9676
- Practice Fax
- (585) 343-1047
- Enumeration Date
- March 03, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)