MATTHEW ANTHONY WAGNER


Address: 1500 E Sherman Blvd, Muskegon, MI 49444-1849
Phone: 2316722000

MATTHEW ANTHONY WAGNER (NPI# 1700415965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700415965
Entity Type Individual
Full Name MATTHEW ANTHONY WAGNER
Credential DO
Practice Address 1500 E Sherman Blvd
Muskegon
MI 49444-1849
Mailing Address 1675 Leahy St Ste 315a
Muskegon
MI 49442-5543
Practice Telephone 2316722000
Mailing Telephone 2317275247
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MATTHEW WAGNER

NPI Name Taxonomy Address Enumeration
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1538534334 Matthew Wagner Acupuncturist 4513 Vernon Blvd, Madison, WI 53705-4993 2015-12-04
1053749168 Matthew Wagner Counselor 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 2013-10-29
1114198751 Matthew Robert Wagner Orthopaedic Surgery 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 2008-03-21
1376177048 Matthew Gary Wagner Case Manager/Care Coordinator 16 W Long St, Columbus, OH 43215-2815 2020-03-02
1235613738 Matthew James Wagner Pharmacist 17213 Cole Rd, Hagerstown, MD 21740-6981 2018-09-20
1164918199 Matthew Steven Wagner Internal Medicine 5225 23rd Ave S, Fargo, ND 58104-7927 2018-07-02
1609371244 Matthew Anthony Wagner Student in an Organized Health Care Education/Training Program 509 Biltmore Ave, Asheville, NC 28801-4601 2018-03-26
1669994752 Matthew Wagner Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2017-07-11
1174973432 Matthew Wagner Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2016-06-17

Office Location

Street Address 1500 E SHERMAN BLVD
City MUSKEGON
State MI
Zip Code 49444-1849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740282904 James J Bleicher Internal Medicine 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2005-06-01
1154934842 Nicklas Lee Raycraft Nurse Practitioner 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-08-24
1447860499 Michael Edward Curran Pharmacist 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-08-05
1669098810 Keith Abraham Registered Nurse 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-06-24
1689299018 Baldwin Family Health Care Dentist 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-06-11
1740804616 Tanner Thomas Hecht Physician Assistant 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-06-05
1770112930 Luis M Rodriguez-galliano Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
1487283628 Kristen D Bruce Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
1003445263 Kyle Nathaniel Turcic Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
1538708227 Austin Vanree Physician Assistant 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2019-12-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073084349 Cathy Forrest, Ma, LLP Plc Psychologist 255 Seminole Road, Suite-205, Muskegon, MI 49444 2018-12-16
1831687276 Sarah J Weiden Massage Therapist 1040 E Sternberg Rd, Muskegon, MI 49444 2018-04-30
1184131500 Hatem M Gelani Sr. Dentist 1725 E Sherman Blvd, Muskegon, MI 49444 2018-01-08
1497123673 Rite Aid Pharmacist 2213 E Hile Road, Muskegon, MI 49444 2015-09-04
1689077075 Rosa Carpenter-parker Counselor 445 East Sherman, Muskegon, MI 49444 2014-09-30
1417373036 Smile Center Pllc Dentist 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 2014-03-06
1134460439 Adam L Powell Physical Medicine & Rehabilitation 1675 E Mount Garfield Rd, Muskegon, MI 49444 2013-03-12
1972847135 Kristen Haugh Physical Therapist 5251 Harvey St Ste 100, Norton Shores, MI 49444 2012-11-12
1912261694 Brandon D Freel Obstetrics & Gynecology 6401 Prairie St Ste 2100, Norton Shores, MI 49444 2012-06-27
1437434487 Amy Stegall Pharmacist 1171 E Sherman, Norton Shores, MI 49444 2011-10-20
Find all providers in zip 49444

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538797105 Laurie Anne Smith Student in an Organized Health Care Education/Training Program 1675 Leahy St Ste 200b, Muskegon, MI 49442-5542 2020-03-30
1265069132 John Whitney Rajala Student in an Organized Health Care Education/Training Program 1675 Leahy St Ste 201, Muskegon, MI 49442-5542 2020-03-23
1447735915 Melanie Praay Student in an Organized Health Care Education/Training Program 3090 Bonneta Rd, Muskegon, MI 49442-1501 2018-10-01
1831584705 Benjamin Wheeler Student in an Organized Health Care Education/Training Program 2450 E Bard Rd, Muskegon, MI 49445-9542 2015-03-30
1144453267 Susan S Lee Student in an Organized Health Care Education/Training Program 1700 Oak Ave Ste 7, Muskegon, MI 49442-2407 2009-08-25
1164044830 Justin R Staley Student in an Organized Health Care Education/Training Program 1700 Clinton St, Muskegon, MI 49442-5502 2020-05-15
1770112930 Luis M Rodriguez-galliano Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
1487283628 Kristen D Bruce Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
1184253312 Bernadette Mcdermott Dazzo Student in an Organized Health Care Education/Training Program 1700 Clinton St, Muskegon, MI 49442-5502 2020-04-08
1003445263 Kyle Nathaniel Turcic Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
Find all providers in MUSKEGON

Competitor

Search similar providers

City MUSKEGON
Zip Code 49444

Improve Information

Please comment or provide details below to improve the information on MATTHEW ANTHONY WAGNER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches