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Jeffrey Wagner, MD — NPI 1881690790, Indianapolis, IN | NPI Central

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NPI 1881690790

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Jeffrey Wagner, MD

NPI 1881690790 · Plastic Surgery Physician · Indianapolis, IN

Provider details

NPI number: 1881690790
Entity type: Individual
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 01041504 (IN)

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000XLicense 01041504A (IN)
Allopathic & Osteopathic Physicians
Plastic and Reconstructive Surgery Physician2086S0122XLicense 01041504 (IN)
Allopathic & Osteopathic Physicians

Practice location

8040 Clearvista Pkwy Ste 520

Indianapolis, IN 46256-5604

Phone: (317) 621-9470

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

6626 E 75th St Ste 500

Indianapolis, IN 46250-2890

Additional practice locations (1)

8040 Clearvista Pkwy
Ste 570
Indianapolis, IN 46256
Phone: (317) 621-2520
Fax: (317) 621-2580

Registry dates

Enumerated: 2005-06-24
Last updated: 2022-09-01
Certified: 2022-09-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.