Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wagoner Medical Center, LLC

Organization Family Medicine Physician · NPI 1457421497

Wagoner Medical Center, LLC is a Family Medicine Physician in Burlington, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 E 7th St
Burlington, IN 46915-0038
Phone: (765) 566-3351
Fax: (765) 566-2250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1457421497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Wagoner — Administrator · (765) 566-3351
NPI enumeratedNovember 8, 2006
Last updated in NPPESMay 15, 2009
Mailing addressPo Box 38, Burlington, IN 46915-0038

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