Vitas Erik Wagner, MD
Colon & Rectal Surgery in Tacoma, WA. Individual provider (NPI-1).
NPI number1982115358
StatusActive
Last updated in NPPESOct 3, 2025
Details
- NPI
- 1982115358
- Entity type
- Individual (NPI-1)
- Name
- Vitas Erik Wagner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2017
- Certification date
- Oct 3, 2025
- Last updated
- Oct 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | MD61176219 | WA | Yes |
| 208600000X | Surgery | MD61176219 | WA |
Practice location
1708 Yakima Ave Ste 105Tacoma, WA 98405-5300
Phone 253-552-1200 · Fax 253-552-1239
Mailing address
1708 Yakima Ave Ste 105Tacoma, WA 98405-5300
Phone 253-552-1200 · Fax 253-552-1239
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Other Colon & Rectal Surgery Physician providers in Tacoma, WA
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All 7 Colon & Rectal Surgery Physician providers in Tacoma · All 15,721 providers in Tacoma
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