IndividualActive
Austin Wagner, D.O.
NPI 1285899401 · Vascular Surgery Physician · Lees Summit, MO
Provider details
- NPI number
- 1285899401
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 05-41644 (KS)
Practice location
3600 Ne Ralph Powell Rd Ste D
Lees Summit, MO 64064-2369
Phone: (816) 675-0920
Mailing address
3600 Ne Ralph Powell Rd Ste D
Lees Summit, MO 64064-2369
Registry dates
- Enumerated
- 2008-07-28
- Last updated
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.