Jack W Wagner (NPI# 1588694004, PAC ID# 0648333740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1588694004 |
PAC ID by PECOS | 0648333740 |
Professional Enrollment ID | I20090115000701 |
Full Name | Jack W Wagner |
Organization Legal Name | EUCLID MEDICAL GROUP PC |
Address |
4615 Eastman Ave Midland MI 48640-2610 |
Phone Number | 9896317110 |
Gender | M |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1978 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | FAMILY PRACTICE |
Group Practice PAC ID | 8628040680 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4175 N Euclid, Suite 3, Bay City, MI 48706-2408 | 9896670491 | EUCLID MEDICAL GROUP PC |
4175 N Euclid, Bay City, MI 48706-2408 | 9896670491 | EUCLID MEDICAL GROUP PC |
4615 Eastman Ave, Midland, MI 48640-2610 | 9896317110 | EUCLID MEDICAL GROUP PC |
Organization Legal Name | EUCLID MEDICAL GROUP PC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronald L Koehler | Osteopathic Manipulative Medicine | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Patricia M Gable | Nurse Practitioner | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Sachiko Kanegae Claus | Nurse Practitioner | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Jodi Wojciechowski | Nurse Practitioner | Euclid Medical Group PC | 4175 N Euclid, Suite 3, Bay City, MI 48706-2408 |
Jose C Magno | General Practice | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Vaughn J Begick | Physician Assistant | Euclid Medical Group PC | 1458 W Ctr Rd, Essexville, MI 48732-2112 |
John R Kircher | Physician Assistant | Euclid Medical Group PC | 1458 W Ctr Rd, Essexville, MI 48732-2112 |
Shawn E Bunch | Nurse Practitioner | Euclid Medical Group PC | 1458 W Ctr Rd, Essexville, MI 48732-2112 |
Street Address |
4615 EASTMAN AVE |
City | MIDLAND |
State | MI |
Zip | 48640-2610 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronald L Koehler | Osteopathic Manipulative Medicine | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Patricia M Gable | Nurse Practitioner | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Sachiko Kanegae Claus | Nurse Practitioner | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Jose C Magno | General Practice | Euclid Medical Group PC | 4615 Eastman Ave, Midland, MI 48640-2610 |
Name | Specialty | Organization | Address |
---|---|---|---|
David W Snider | Podiatry | Midland Podiatry Associates Pllc | 4911 Hedgewood Dr, Midland, MI 48640-1930 |
Todd E Laughner | Podiatry | Midland Podiatry Associates Pllc | 4911 Hedgewood Dr, Midland, MI 48640-1930 |
Gary C Graham | Clinical Social Worker | Connection for Mental Health Plc | 4710 N Saginaw Rd, Suite B, Midland, MI 48640-2300 |
Laurie D Chamberlain Clements | Clinical Social Worker | Connection for Mental Health Plc | 4710 N Saginaw Rd, Suite B, Midland, MI 48640-2300 |
Kristina M Mcconnell | Physical Therapy | 4421 W Main St, Mcconnell Physical Therapy, Midland, MI 48640-2304 | |
Melanie Lynn Mitchell | Psychologist, Clinical | Clinton County Medical Center Psychological Services Pllc | 3600 N Saginaw Rd, Midland, MI 48640-2320 |
Anne Marie Brooks | Clinical Social Worker | 4604 N Saginaw Rd K, Keep It Real Counseling LLC, Midland, MI 48640-2394 | |
Robert J Edwards | Chiropractic | Rodnick Chiropractic Consultants PC | 4604 N Saginaw Rd A, Midland, MI 48640-2394 |
Jill E Trager | Psychologist, Clinical | 4604 N Saginaw Rd, Suite F, Midland, MI 48640-2394 | |
Toni A Rodnick | Chiropractic | Rodnick Chiropractic Consultants PC | 4604 N Saginaw Rd A, Midland, MI 48640-2394 |
Find all physicians in zip 48640 |
City | MIDLAND |
Zip Code | 48640 |
Specialty | INTERNAL MEDICINE |
City + Specialty | MIDLAND + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.