IndividualActive
Jacob Wagner
NPI 1194176784 · Other Technician · Redford, MI
Jacob Wagner is a Other Technician provider in Redford, MI (NPI 1194176784).
Provider details
- NPI number
- 1194176784
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17293 Delaware Ave
Redford, MI 48240-2302
Phone: (313) 948-7199
Street-level locationGet directions
Mailing address
17293 Delaware Ave
Redford, MI 48240-2302
Registry dates
- Enumerated
- 2016-06-25
- Last updated
- 2016-06-25
Frequently asked questions
- What is Jacob Wagner's NPI number?
- Jacob Wagner's National Provider Identifier (NPI) is 1194176784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Wagner's specialty?
- Jacob Wagner is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Jacob Wagner located?
- Jacob Wagner's practice location on file with NPPES is 17293 Delaware Ave, Redford, MI 48240-2302.
- What is Jacob Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jacob Wagner is (313) 948-7199.
- Is Jacob Wagner's NPI active?
- Yes — Jacob Wagner's NPI (1194176784) is active in the NPPES registry as of the last update on 2016-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.