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

Individual provider Family Medicine Physician · NPI 1063674299

Todd Emmit Wagner, MD is a Family Medicine Physician in Maple Heights, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2008
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

21100 Southgate Park Blvd
Maple Heights, OH 44137-3004
Phone: (216) 663-6100
Fax: (216) 395-1071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 — (216) 781-6228

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.099746 (OH)

Record details

NPI number1063674299
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2008
Last updated in NPPESDecember 7, 2018
Mailing address21100 Southgate Park Blvd, Maple Heights, OH 44137-3004

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