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Edwin Walter Wager

  • Male

Medical Specialty

Professional ID

  • NPI: 1558326587
  • PECOS ID: 9133174113
  • Enrollment ID: I20050314000495
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of California Irvine California College Of Medicine
  • Medical School Graduation Year: 1974

Hospital Service

  • Hospital CCN1: 050557
  • Business Name (LBN)1: Memorial Medical Center
  • Hospital CCN2: 050084
  • Business Name (LBN)2: St Josephs Medical Center Of Stockton

Medical Practices

  • Organization Name: Sutter Valley Medical Foundation
  • Group Practice ID assigned by PECOS: 9830094515
  • Number of Group Practice member: 1366

Location

  • Address1: 2505 W Hammer Ln
  • Address2:
  • City: Stockton
  • State: California
  • Zip Code: 95209
  • Phone Number: (209)957-7050

Location

  • Address1: 2545 W Hammer Ln
  • Address2:
  • City: Stockton
  • State: California
  • Zip Code: 95209
  • Phone Number: (209)957-7050

Location

Location

  • Address1: 600 Coffee Rd
  • Address2:
  • City: Modesto
  • State: California
  • Zip Code: 95355
  • Phone Number:

Location

  • Address1: 815 Court St
  • Address2:
  • City: Jackson
  • State: California
  • Zip Code: 95642
  • Phone Number:

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes