NPI
Gary Wagner
NPI 1235160102
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2006-07-06
- Last updated
- 2016-04-01
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Specialties
Licenses
- License CA
- A24987
Location
- Practice location
- 600 Coffee Rd
- City
- Modesto CA
- Postal code
- 95355-4201
- Phone
- (209) 524-1211
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Dermatologists in Modesto, CA. 12 with this primary taxonomy in the public file.
Other NPIs in Modesto, CA. 10,730 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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