THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
24/06/25 04:01:39 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2013
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 147 Ailsa Craig Main Street
Ailsa Craig Ontario N0M 1A0
Business Email: No Information Available
Phone: (519) 293-3981
Fax: (519) 518-2258

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 22 Jun 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 22 2015
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
London Health Sciences Centre London
Strathroy Middlesex General Hospital Strathroy
HOSPITAL: London Health Sciences Centre
LOCATION: London
HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy

Professional Corporation Information

Corporation Name: Michael J. Wagner Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 18 Dec 2015
Shareholders:
Dr. M. Wagner (CPSO#: 101462 )
Business Address: 147 Main Street
Ailsa Craig Ontario N0M 1A0 (519) 293-3791

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 2013

Practice Information

Primary Business Location: 147 Ailsa Craig Main Street
Ailsa Craig Ontario N0M 1A0
Business Email: No Information Available
Phone: (519) 293-3981
Fax: (519) 518-2258

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 22 Jun 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 22 2015
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
London Health Sciences Centre London
Strathroy Middlesex General Hospital Strathroy
HOSPITAL: London Health Sciences Centre
LOCATION: London
HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy

Professional Corporation Information

Corporation Name: Michael J. Wagner Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 18 Dec 2015
Shareholders:
Dr. M. Wagner (CPSO#: 101462 )
Business Address: 147 Main Street
Ailsa Craig Ontario N0M 1A0 (519) 293-3791

Practice Conditions

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(1) Dr. MICHAEL JEFFREY WAGNER may practise only in the areas of medicine in which Dr. WAGNER is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. MICHAEL JEFFREY WAGNER may practise only in the areas of medicine in which Dr. WAGNER is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Schulich School of Medicine and Dentistry, Western University, 2013

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 19 Aug 2015
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2013
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 19 Aug 2015
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2013