National Provider Identifier
David Garrett Wagner, MD
David Garrett Wagner, MD is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician in Rochester, NY and a listed phone number of (585) 273-4580.
Profile Overview
- NPI
- 1891888947
- Provider Type
- Individual
- Primary Specialty
- Anatomic Pathology & Clinical Pathology Physician
- Enumeration Date
- October 02, 2006
- Last Updated
- February 07, 2024
Practice Location
- 601 Elmwood Ave
- Box 626
- Rochester, NY 14642
Phone: (585) 273-4580
Mailing Address
- 983135 Nebraska Medical Ctr
- Omaha, NE 68198-3135
Specialties
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1891888947
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- David
- Middle Name
- Garrett
- Credential
- MD
- Mailing Street Address
- 983135 Nebraska Medical Ctr
- Mailing City
- Omaha
- Mailing State
- NE
- Mailing ZIP Code
- 68198-3135
- Mailing Country
- US
- Mailing Phone
- (404) 559-6018
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 626
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642
- Practice Country
- US
- Practice Phone
- (585) 273-4580
- Enumeration Date
- October 02, 2006
- Last Updated
- February 07, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 07, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), Student in an Organized Health Care Education/Training Program (390200000X)