| Mr Karl Gordon Wagner Jr, PA-C | |
|
22255 Greenfield Rd, Suite 422, Southfield, MI 48075-3710 | |
| (248) 849-3195 | |
| (248) 849-3390 |
| Full Name | Mr Karl Gordon Wagner Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 22255 Greenfield Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720179500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601001954 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Karl Gordon Wagner Jr, PA-C 57813 Cider Mill Dr, New Hudson, MI 48165-9482 Ph: (248) 486-4364 | Mr Karl Gordon Wagner Jr, PA-C 22255 Greenfield Rd, Suite 422, Southfield, MI 48075-3710 Ph: (248) 849-3195 |
Mr. Gary Girard Errigo, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17515 W Nine Mile Road, Suite 340, Southfield, MI 48075 Phone: 248-569-2695 Fax: 248-569-7250 | |
Elizabeth Kowynia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29405 Greenfield Rd, Southfield, MI 48076 Phone: 248-983-5330 Fax: 248-327-7482 | |
Mrs. Amanda Jane Marcozzi, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Mr. Rafik E Mansour, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23832 Southfield Rd, Southfield, MI 48075 Phone: 248-569-2600 | |
Kimberly Gadulka, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18161 W 13 Mile Rd Ste E1, Southfield, MI 48076 Phone: 248-642-8989 | |
Kaitlin Elizabeth Flaherty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30130 Northgate Ln, Southfield, MI 48076 Phone: 248-217-7276 | |
Ms. Laurie Watt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3856 |