Dr. William A Wagner , DO
General Practice • Grand Rapids, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Wagner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. William Wagner, DO was a registered General Practice practicing in Grand Rapids, MI. Throughout an active medical career spanning 15 years, Dr. Wagner provided care at the practice location at 2317 ELMWOOD DR SE until profile deactivation on 2022-06-17.
Practice Location & Contact Primary Location
2317 Elmwood Dr Se
Grand Rapids, MI 495064055
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Grand Rapids, MI
Practicing in Grand Rapids, MI (445 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 17, 2022
NPI status registered as active in NPPES database
Registered at 2317 ELMWOOD DR SE, GRAND RAPIDS, MI 495064055 (Tel: 1616245380)
Registered at 2317 ELMWOOD DR SE, GRAND RAPIDS, MI 495064055 (Tel: 1616245380)
Recorded as WILLIAM WAGNER, D.O.
General Practice (License #5101003991 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2317 Elmwood Dr Se
Grand Rapids, MI 495064055
Phone: 1616245380
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