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

Michael D Wagner, MD

Individual provider Family Medicine Physician · NPI 1043217797

Michael D Wagner, MD is a Pulmonary Disease in Espanola, New Mexico. Qualified in 1978, 48 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
48
Licensed in
NM
In the registry since
2005
Specialties on file
2
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

1010 Spruce St 3rd Fl Area 5
Espanola, NM 87532-2724
Phone: (505) 367-0340
Fax: (505) 747-2025
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 81-335 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence 81335 (NM)

Record details

NPI number1043217797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2005
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address835 Spruce St Ste B, Espanola, NM 87532-3455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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