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

Gary Wagner, MD

Individual provider Dermatology Physician · NPI 1235160102

Gary Wagner, MD is a Dermatology Physician in Modesto, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 524-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A24987 (CA)

Record details

NPI number1235160102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESApril 1, 2016
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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